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SIMI VALLEY, CA —

OSHA Injury Report: ABS-0029-0028-00393 FAC-00393-SIMI VALLEY-CA

Injury · Other recordable case

At a glance

On , an injury at ABS-0029-0028-00393 FAC-00393-SIMI VALLEY-CA in 1268 MADERA ROAD, SIMI VALLEY, CA 93065 resulted in other recordable case. Employee was gM HBC Clerk in supermarkets and Other Grocery except Convenience Stores.

Where did this happen?

Establishment
ABS-0029-0028-00393 FAC-00393-SIMI VALLEY-CA
Parent company
Albertsons LLC
Street
1268 MADERA ROAD
City
SIMI VALLEY
State
CA
ZIP
93065
On-site location
DELI

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

CLEANING CASE EQUIPMENT OR TOOLS

What happened

slipped and fallen on greasy floor I watched the cameras and did not see him slip and fall

Injury or illness

Sprained Left Upper back Fall Greasy floor

Object or substance involved

Greasy floor

Summary line

slipped and fallen on greasy floor I watched the cameras and did not see him slip and fall

Employee and industry

Job description
GM HBC Clerk
SOC code
41-2031 — Retail Salespersons
NAICS code
445110 — Supermarkets and Other Grocery except Convenience Stores
NAICS vintage
2022
Avg employees
102
Total hours worked
159374
EIN
820184434
Establishment ID
1140500
Employer case #
95317

When (timing detail)

Date of incident
Shift started
13:00
Time of incident
18:30
Filing year
2024
Submitted
21FEB2025:08:27:00

More injuries at ABS-0029-0028-00393 FAC-00393-SIMI VALLEY-CA

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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.