Pacoima, CA —
OSHA Injury Report: 704-00377
Injury · Days away from work
At a glance
On , an injury at 704-00377 in 12765 Van Nuys Blvd, Pacoima, CA 91331 resulted in days away from work. Employee was sTORE PRICE INT 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
- GROCERY SALES FLOOR BREAD AISLE
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
- Days restricted or transferred
- 27
Before the incident
STOCKING BREAD
What happened
EE was fixing red racks and placed the crate on the floor she went to bend down and felt sharp pain in her lower back and couldn 't move
Injury or illness
Strained Posterior Low back Lifting BREAD CRATE
Object or substance involved
BREAD CRATE
Summary line
Strained Posterior Low back Lifting BREAD CRATE
Employee and industry
- Job description
- STORE PRICE INT
- 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 #
- 884449
When (timing detail)
- Date of incident
- Shift started
- 4:11
- Time of incident
- 5:00
- Filing year
- 2024
- Submitted
- 25FEB2025:19:10:00
More injuries at 704-00377
View 704-00377'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.