Sun Valley, CA —
OSHA Injury Report: LCISM
Injury · Job transfer or restriction
At a glance
On , an injury at LCISM in Sun Valley, CA 91325 resulted in job transfer or restriction. Employee was order Fulfillment in candy merchant wholesalers.
Where did this happen?
- Establishment
- LCISM
- Parent company
- Kiva Sales and Services
- Street
- 11630 Pendleton St.
- City
- Sun Valley
- State
- CA
- ZIP
- 91325
- On-site location
- Warehouse
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 30
Before the incident
sitting on an office chair doing quality assurance and checking product
What happened
the chair broke causing him to fall onto his left leg and injure his left knee
Injury or illness
left knee injury from falling off a broken chair
Object or substance involved
chair and ground
Summary line
left knee injury from falling off a broken chair
Employee and industry
- Job description
- Order Fulfillment
- SOC code
- 9999 — Uncoded
- NAICS code
- 424450 — Candy merchant wholesalers
- NAICS vintage
- 2022
- Avg employees
- 61
- Total hours worked
- 104772
- Establishment ID
- 918473
- Employer case #
- 20
When (timing detail)
- Date of incident
- Shift started
- 12:36:00.000
- Time of incident
- 14:35:00.000
- Submitted
- 02MAR24:21:58:00
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.