Pacoima, CA —
OSHA Injury Report: 704-00377
Injury · Job transfer or restriction
At a glance
On , an injury at 704-00377 in 12765 Van Nuys Blvd, Pacoima, CA 91331 resulted in job transfer or restriction. Employee was sTORE TEAM MEMB in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 704-00377
- Parent company
- Food 4 Less FoodsCo
- Street
- 12765 Van Nuys Blvd
- City
- Pacoima
- State
- CA
- ZIP
- 91331
- On-site location
- DAIRY SALES FLOOR AT COOLER DOORS
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 3
Before the incident
CLEANING DAIRY COOLER DOORS
What happened
EE WIPING DOWN THE DOORS ON THE DAIRY SECTION SHE FELL DOWN FROM THE WIPING HURTING HER LEFT SHOULDER AND RIGHT WRIST
Injury or illness
Strained Left Shoulder Fall FLOOR
Object or substance involved
FLOOR
Summary line
Strained Left Shoulder Fall FLOOR
Employee and industry
- Job description
- STORE TEAM MEMB
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 81
- Total hours worked
- 118106
- EIN
- 951456805
- Establishment ID
- 967172
- Employer case #
- 870301
When (timing detail)
- Date of incident
- Shift started
- 2:00
- Time of incident
- 10:00
- Filing year
- 2024
- Submitted
- 25FEB2025:19:10:00
More injuries at 704-00377
View 704-00377's full OSHA safety record →
More injuries in this industry (NAICS 445110)
Albuquerque, NM—
060-Albuquerque NM
Los Angeles, CA—
500-Hooper CA
AMARILLO, TX—
WM 4464
NEWTON, NC—
WM 4432
ALBUQUERQUE, NM—
WM 3385
More injuries in CA
Torrance, CA—
Arc Boat Company
Los Angeles, CA—
500-Hooper CA
Rancho Cucamonga, CA—
087-RCDC
PERRIS, CA—
WM 1747
WASCO, CA—
WM 5859
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.