PALMDALE, CA —
OSHA Injury Report: 2603-26030004 V04
Injury · Other recordable case
At a glance
On , an injury at 2603-26030004 V04 in 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
- Avg employees
- 77
- Total hours worked
- 185229
- EIN
- 954602362
- Establishment ID
- 407339
- Employer case #
- 1558-WC-23
When (timing detail)
- Date of incident
- Submitted
- 30JAN24:00:00:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.