VICTORVILLE, CA ·
OSHA Injury Report: 2603-26030022 V22
Injury · Days away from work
At a glance
On , an injury at 2603-26030022 V22 in 12351 MARIPOSA RD., VICTORVILLE, CA 92395 resulted in days away from work. Employee was taquero D in independent Supermarket.
Where did this happen?
- Establishment
- 2603-26030022 V22
- Parent company
- Vallarta Food Enterprises dba Vallarta Supermarkets
- Street
- 12351 MARIPOSA RD.
- City
- VICTORVILLE
- State
- CA
- ZIP
- 92395
- On-site location
- In the Taqueria department
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 116
Before the incident
EE was taking out the residue water from the grill compartment (hot water)
What happened
the metal box from the grill lifted and the hot water spilled on the EE 's right ankle
Injury or illness
Dx: Burn of third degree of right ankle initial encounter T25.311A
Object or substance involved
hot water from grill
Summary line
3rd Degree burn to the right ankle
Employee and industry
- Job description
- Taquero D
- SOC code
- 9999: Uncoded
- NAICS code
- 445110: Independent Supermarket
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 110
- Hours worked at this establishment (2023 total)
- 302,775
- EIN
- 954758260
- Establishment ID
- 407350
- 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
- 2024-01-25
More injuries at 2603-26030022 V22
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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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