LANCASTER, CA ·
OSHA Injury Report: 2603-26030014 V14
Injury · Other recordable case
At a glance
On , an injury at 2603-26030014 V14 in 1801 WEST AVE I, LANCASTER, CA 93534 resulted in other recordable case. Employee was taqueria Clerk 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 Taqueria dept.
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Unknown - EE alleged a CT claim for multiple body parts
What happened
Unknown
Injury or illness
Unknown
Object or substance involved
Unknown
Summary line
UNKNOWN - EE alleged a CT injury to multiple body parts by way of application for adjudication of calim.
Employee and industry
- Job description
- Taqueria Clerk
- 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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