SAN FERNANDO, CA ·
OSHA Injury Report: 2603-26030043 V43
Injury · Job transfer or restriction
At a glance
On , an injury at 2603-26030043 V43 in 757 S. WORKMAN STREET, SAN FERNANDO, CA 91340 resulted in job transfer or restriction. Employee was asst Taqueria Manager D in independent Supermarket.
Where did this happen?
- Establishment
- 2603-26030043 V43
- Parent company
- Vallarta Food Enterprises dba Vallarta Supermarkets
- Street
- 757 S. WORKMAN STREET
- City
- SAN FERNANDO
- State
- CA
- ZIP
- 91340
- On-site location
- Taqueria department
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 64
Before the incident
The EE was dragging a heavy pot with oil and attempted to straighten herself when she experience an onset of low back pain to the right side.
What happened
The EE was dragging a heavy pot with oil and attempted to straighten herself when she experience an onset of low back pain to the right side
Injury or illness
low back pain
Object or substance involved
a heavy pot of oil
Summary line
EE was dragging a heavy pot and when she got up she felt an onset of back pain
Employee and industry
- Job description
- Asst Taqueria Manager D
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110: Independent Supermarket
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 91
- Hours worked at this establishment (2023 total)
- 214,696
- EIN
- 954758260
- Establishment ID
- 407363
- Employer case #
- 1558-WC-23
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2023
- Submitted to OSHA
- 2024-01-24
More injuries at 2603-26030043 V43
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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