VALLEY GLEN, CA ·
OSHA Injury Report: 2603-26030001 V01
Injury · Days away from work
At a glance
On , an injury at 2603-26030001 V01 in 13051 VICTORY BLVD., VALLEY GLEN, CA 91606 resulted in days away from work. Employee was asst Grocery Mr D in independent Supermarket.
Where did this happen?
- Establishment
- 2603-26030001 V01
- Parent company
- Vallarta Food Enterprises dba Vallarta Supermarkets
- Street
- 13051 VICTORY BLVD.
- City
- VALLEY GLEN
- State
- CA
- ZIP
- 91606
- On-site location
- in the Store 's warehouse
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 49
Before the incident
Stocking [REDACTED] toilet paper with a 5 step ladder
What happened
the EE lost his footing and fell off the ladder
Injury or illness
Dislocation of the right knee
Object or substance involved
5 step ladder
Summary line
EE was stocking [REDACTED] toilet paper with a 5 step ladder EE lost his footing and fell off ladder dislocating his right knee.
Employee and industry
- Job description
- Asst Grocery Mr D
- SOC code
- 9999: Uncoded
- NAICS code
- 445110: Independent Supermarket
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 76
- Hours worked at this establishment (2023 total)
- 198,423
- EIN
- 954758260
- Establishment ID
- 407338
- 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
- 2024-01-27
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.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.