NORTH HOLLYWOOD, CA ·
OSHA Injury Report: 2603-26030009 V09
Injury · Other recordable case
At a glance
On , an injury at 2603-26030009 V09 in 10859 OXNARD ST., NORTH HOLLYWOOD, CA 91606 resulted in other recordable case. Employee was janitor in independent Supermarket.
Where did this happen?
- Establishment
- 2603-26030009 V09
- Parent company
- Vallarta Food Enterprises dba Vallarta Supermarkets
- Street
- 10859 OXNARD ST.
- City
- NORTH HOLLYWOOD
- State
- CA
- ZIP
- 91606
- On-site location
- Store warehouse
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking thru the store 's warehouse
What happened
While the EE was walking thru the warehouse another EE was holding a metal frame that had a sharp edge when the EE went by him accidentally lacerated his left eyebrow
Injury or illness
laceration to the left eyebrow
Object or substance involved
edge of metal frame
Summary line
The EE was walking thru the warehouse when he lacerated his left eyebrow with a metal frame
Employee and industry
- Job description
- Janitor
- SOC code
- 37-2011: Janitors and Cleaners, Except Maids and Housekeeping Cleaners
- NAICS code
- 445110: Independent Supermarket
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 55
- Hours worked at this establishment (2023 total)
- 148,590
- EIN
- 954602362
- Establishment ID
- 407342
- 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 in this industry (NAICS 445110)
More injuries in CA
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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