LANCASTER, CA ·
OSHA Injury Report: 2603-26030014 V14
Injury · Job transfer or restriction
At a glance
On , an injury at 2603-26030014 V14 in 1801 WEST AVE I, LANCASTER, CA 93534 resulted in job transfer or restriction. Employee was cremeria Dispatcher D in independent Supermarket.
Where did this happen?
- Establishment
- 2603-26030014 V14
- Parent company
- Vallarta Food Enterprises dba Vallarta Supermarkets
- Street
- 1801 WEST AVE I
- City
- LANCASTER
- State
- CA
- ZIP
- 93534
- On-site location
- In the Cremeria dept.
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 24
Before the incident
Transporting sour cream with a cart to her dept.
What happened
EE tripped over the transport cart and fell
Injury or illness
Dx: S8392XD Sprain of unspecified site of left knee subsequent enco S73192D Other sprain of left hip subsequent encounter S39012D Strain of muscle fascia and tendon of lower back subse S5002XD Contusion of left elbow subsequent encounter
Object or substance involved
Transportation Cart
Summary line
The EE tripped over a transportation cart injuring her low back; left hand and left wrist.
Employee and industry
- Job description
- Cremeria Dispatcher D
- SOC code
- 9999: Uncoded
- NAICS code
- 445110: Independent Supermarket
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 106
- Hours worked at this establishment (2023 total)
- 275,998
- EIN
- 954758260
- Establishment ID
- 407345
- 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
- 2024-01-26
More injuries at 2603-26030014 V14
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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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