Mill Valley, CA —
OSHA Injury Report: 10337 Blithedale
Injury · Job transfer or restriction
At a glance
On , an injury at 10337 Blithedale in Mill Valley, CA 94941 resulted in job transfer or restriction. Employee was s Produce Supervisor.
Where did this happen?
- Establishment
- 10337 Blithedale
- Street
- 731 East Blithedale Ave
- City
- Mill Valley
- State
- CA
- ZIP
- 94941
- On-site location
- Loading dock
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 4
Before the incident
EE STATES WAS COMPLETING DAILY DUTIES AFTER CARRYING SEVERAL HEAVY BOXES FELT A PULL TO THE LOWER BACK CAUSING PAIN TO RIGHT LEG.
What happened
Overexertion Lifting
Injury or illness
Strain Sprain
Object or substance involved
Box barrel container
Summary line
While carrying away apple boxes TM heard a pop in right leg and knee causing pain.
Employee and industry
- Job description
- S Produce Supervisor
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110
- NAICS vintage
- 2022
- Avg employees
- 125
- Total hours worked
- 195437
- EIN
- 742489930
- Establishment ID
- 715785
- Employer case #
- 0005772083
When (timing detail)
- Date of incident
- Shift started
- 6:59:00.000
- Time of incident
- 12:00:00.000
- Submitted
- 28FEB24:22:31:00
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.