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LAKE HAVASU CITY, AZ —

OSHA Injury Report: ABS-0017-0016-03204 FAC-03204-LAKE HAVASU CITY-AZ

Injury · Job transfer or restriction

At a glance

On , an injury at ABS-0017-0016-03204 FAC-03204-LAKE HAVASU CITY-AZ in 1980 MCCULLOCH BLVD, LAKE HAVASU CITY, AZ 86403 resulted in job transfer or restriction. Employee was courtesy Clerk in supermarkets and Other Grocery except Convenience Stores.

Where did this happen?

Establishment
ABS-0017-0016-03204 FAC-03204-LAKE HAVASU CITY-AZ
Parent company
Albertsons LLC
Street
1980 MCCULLOCH BLVD
City
LAKE HAVASU CITY
State
AZ
ZIP
86403
On-site location
FRONT END

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
93

Before the incident

CART RETRIEVAL

What happened

bring in carts felt pop in elbow

Injury or illness

Sprained Right Elbow Pushing or pulling Carts

Object or substance involved

Carts

Summary line

bring in carts felt pop in elbow

Employee and industry

Job description
Courtesy Clerk
SOC code
53-7064 — Packers and Packagers, Hand
NAICS code
445110 — Supermarkets and Other Grocery except Convenience Stores
NAICS vintage
2022
Avg employees
123
Total hours worked
194912
EIN
820184434
Establishment ID
1140251
Employer case #
67807

When (timing detail)

Date of incident
Shift started
9:00
Time of incident
12:30
Filing year
2024
Submitted
21FEB2025:08:27:00

More injuries at ABS-0017-0016-03204 FAC-03204-LAKE HAVASU CITY-AZ

View ABS-0017-0016-03204 FAC-03204-LAKE HAVASU CITY-AZ's full OSHA safety record →

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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.