SYLMAR, CA ·
OSHA Injury Report: 2603-26030007 V07
Injury · Days away from work
At a glance
On , an injury at 2603-26030007 V07 in 13820 FOOTHILL BLVD., SYLMAR, CA 91342 resulted in days away from work. Employee was bakery Dispatcher in independent Supermarket.
Where did this happen?
- Establishment
- 2603-26030007 V07
- Parent company
- Vallarta Food Enterprises dba Vallarta Supermarkets
- Street
- 13820 FOOTHILL BLVD.
- City
- SYLMAR
- State
- CA
- ZIP
- 91342
- On-site location
- In the Bakery dept.
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 93
Before the incident
She was cleaning the viewing case of her dept.
What happened
EE slipped and fell and fractured her right wrist trying to break her fall
Injury or illness
Closed fracture of the right wrist; hand pain; contusion of coccyx
Object or substance involved
water on the floor
Summary line
EE was cleaning a viewing case she slipped on water on the floor fell and fractured her right wrist
Employee and industry
- Job description
- Bakery Dispatcher
- 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)
- 258,005
- EIN
- 954602355
- Establishment ID
- 407341
- 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 2603-26030007 V07
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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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