PALMDALE, CA ·
OSHA Injury Report: 2603-26030004 V04
Injury · Other recordable case
At a glance
On , an injury at 2603-26030004 V04 in 440 E. PALMDALE BLVD., PALMDALE, CA 93550 resulted in other recordable case. Employee was security Officer 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
- Inside the store
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
EE was attempting to retrieve stolen merchandise from a shoplifter
What happened
In the process of casing a shoplifter he was running and twisted his right knee
Injury or illness
DX: Patellar Tendonitis right knee sprain posterior cruciate ligament of Rt knee
Object or substance involved
EE was running
Summary line
EE was attempting to retrieve some stolen merchandise and while running he twisted his right knee
Employee and industry
- Job description
- Security Officer
- SOC code
- 33-9032: Security Guards
- 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
- 2024-01-30
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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