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 meat Wrapper 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 meat dept 's freezer
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 51
Before the incident
EE had gone inside the freezer to pull product out.
What happened
the EE slipped and fell hitting her head
Injury or illness
dx: contusion of head neck
Object or substance involved
ice on the floor
Summary line
EE slipped and fell inside the freezer and hit her head
Employee and industry
- Job description
- Meat Wrapper D
- SOC code
- 53-7064: Packers and Packagers, Hand
- 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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