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LAKE HAVASU CITY, AZ —

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

Injury · Days away from work

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 days away from work. Employee was deli 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
DELI

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
52
Days restricted or transferred
6

Before the incident

STOCKING

What happened

[REDACTED] fell on knee stepping down off of step ladder

Injury or illness

Bruised Right Knee Trip Step Ladder

Object or substance involved

Step Ladder

Summary line

[REDACTED] fell on knee stepping down off of step ladder

Employee and industry

Job description
Deli Clerk
SOC code
35-3023 — Fast Food and Counter Workers
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 #
68750

When (timing detail)

Date of incident
Shift started
14:00
Time of incident
18:54
Filing year
2024
Submitted
21FEB2025:08:27:00

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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.