Mill Valley, CA —
OSHA Injury Report: 10337 Blithedale
Injury · Other recordable case
At a glance
On , an injury at 10337 Blithedale in Mill Valley, CA 94941 resulted in other recordable case. Employee was s Grocery Service Team Member.
Where did this happen?
- Establishment
- 10337 Blithedale
- Street
- 731 East Blithedale Ave
- City
- Mill Valley
- State
- CA
- ZIP
- 94941
- On-site location
- Walkin CoolerGrocery
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
EE STATES WORKING IN GROCERY DEPARTMENT MOVING BACKSTOCK INTO REFRIGERATOR CARRYING BOX FELT PAIN TO R GLUTE CAUSING PAIN.
What happened
Overexertion Lifting
Injury or illness
Strain Sprain
Object or substance involved
Box barrel container
Summary line
Strain to right glute due lifting carrying product.
Employee and industry
- Job description
- S Grocery Service Team Member
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110
- NAICS vintage
- 2022
- Avg employees
- 125
- Total hours worked
- 195437
- EIN
- 742489930
- Establishment ID
- 715785
- Employer case #
- 0005772121
When (timing detail)
- Date of incident
- Shift started
- 5:10:00.000
- Time of incident
- 13:00:00.000
- Submitted
- 28FEB24:22:29:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.