LAKEWOOD, CA —
OSHA Injury Report: Unit #0250
Injury · Days away from work
At a glance
On , an injury at Unit #0250 in LAKEWOOD, CA 90712 resulted in days away from work. Employee was home Furnish Co in retail.
Where did this happen?
- Establishment
- Unit #0250
- Parent company
- PENNEY OPCO LLC
- Street
- 67 LAKEWOOD CTR MALL
- City
- LAKEWOOD
- State
- CA
- ZIP
- 90712
- On-site location
- Break room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 13
Before the incident
On break
What happened
EE is a [REDACTED] female employed as a Retail Home Furnishings Associate who injured her left leg left knee left arm and left shoulder as a result of a slip and fall in the break room.
Injury or illness
Fall On the Same Level
Object or substance involved
Floors
Summary line
Multiple Body Parts
Employee and industry
- Job description
- Home Furnish Co
- SOC code
- 9999 — Uncoded
- NAICS code
- 452112 — Retail
- NAICS vintage
- 2012
- Avg employees
- 101
- Total hours worked
- 108931
- EIN
- 853718114
- Establishment ID
- 454393
- Employer case #
- 25001
When (timing detail)
- Date of incident
- Shift started
- 10:00:00.000
- Time of incident
- 9:50:00.000
- Submitted
- 02MAR24:02:50:00
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.