PALMDALE, CA ·
OSHA Injury Report: 2603-26030004 V04
Injury · Days away from work
At a glance
On , an injury at 2603-26030004 V04 in 440 E. PALMDALE BLVD., PALMDALE, CA 93550 resulted in days away from work. Employee was meat Filler in independent Supermarket.
Where did this happen?
- Establishment
- 2603-26030004 V04
- Parent company
- Vallarta Food Enterprises dba Vallarta Supermarkets
- Street
- 440 E. PALMDALE BLVD.
- City
- PALMDALE
- State
- CA
- ZIP
- 93550
- On-site location
- in the meat department
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 121
Before the incident
Cleaning the Gracelli machine
What happened
he had the part of the machine that has the blades tilted over and it slipped
Injury or illness
Laceration of the right writs
Object or substance involved
Grasselli machine
Summary line
EE was cleaning the Grasselli machine and in the process he lacerated his right wrist
Employee and industry
- Job description
- Meat Filler
- SOC code
- 9999: Uncoded
- NAICS code
- 445110: Independent Supermarket
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 77
- Hours worked at this establishment (2023 total)
- 185,229
- EIN
- 954602362
- Establishment ID
- 407339
- 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
- 2024-01-29
More injuries at 2603-26030004 V04
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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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