VICTORVILLE, CA —
OSHA Injury Report: 2603-26030022 V22
Injury · Other recordable case
At a glance
On , an injury at 2603-26030022 V22 in VICTORVILLE, CA 92395 resulted in other recordable case. Employee was meat Dispatcher D in independent Supermarket.
Where did this happen?
- Establishment
- 2603-26030022 V22
- Parent company
- Vallarta Food Enterprises dba Vallarta Supermarkets
- Street
- 12351 MARIPOSA RD.
- City
- VICTORVILLE
- State
- CA
- ZIP
- 92395
- On-site location
- Meat Department
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Wrapping pork chops
What happened
She was walking in the meat department
Injury or illness
She slipped and fell on her left knee
Object or substance involved
floor was slippery
Summary line
EE was wrapping pork chops when she slipped and fell on her left knee
Employee and industry
- Job description
- Meat Dispatcher D
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Independent Supermarket
- NAICS vintage
- 2012
- Avg employees
- 151
- Total hours worked
- 285424
- EIN
- 954758260
- Establishment ID
- 407350
- Employer case #
- 1558WC2403
When (timing detail)
- Date of incident
- Filing year
- 2024
- Submitted
- 21JAN2025:19:23:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.