Mill Valley, CA —
OSHA Injury Report: 10009 Mill Valley
Injury · Job transfer or restriction
At a glance
On , an injury at 10009 Mill Valley in Mill Valley, CA 94941 resulted in job transfer or restriction. Employee was s Grocery Service Team Member.
Where did this happen?
- Establishment
- 10009 Mill Valley
- Street
- 414 Miller Avenue
- City
- Mill Valley
- State
- CA
- ZIP
- 94941
- On-site location
- Grocery
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 34
Before the incident
EE STOCKING LOWER SHELF WITH [REDACTED] PADS R [REDACTED] CAME OUT OF [REDACTED] PAD STRUCK FLOOR CAUSING R [REDACTED] PAD.
What happened
Strike Against Step On Rubbed or Abraded
Injury or illness
Strain Sprain
Object or substance involved
Human Action
Summary line
TM was stocking shelves on knees using a knee pad. The pad slipped of his knees and he hit his right knee on the floor.
Employee and industry
- Job description
- S Grocery Service Team Member
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110
- NAICS vintage
- 2022
- Avg employees
- 95
- Total hours worked
- 149041
- EIN
- 742489930
- Establishment ID
- 715784
- Employer case #
- 0005771967
When (timing detail)
- Date of incident
- Shift started
- 12:28:00.000
- Time of incident
- 18:00:00.000
- Submitted
- 28FEB24:22:32:00
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.