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Safety Incidents OSHA Severe Injury Reports · 2015–2025

SAN PABLO, CA —

OSHA Injury Report: 20500002-568 STORE 568 - SAN PABLO

Injury · Days away from work

At a glance

On , an injury at 20500002-568 STORE 568 - SAN PABLO in 13110 SAN PABLO AVENUE, SAN PABLO, CA 94805 resulted in days away from work. Employee was assistant Manag in supermarkets and Other Grocery Retailers except Convenience Retailers.

Where did this happen?

Establishment
20500002-568 STORE 568 - SAN PABLO
Parent company
Smart and Final STORE
Street
13110 SAN PABLO AVENUE
City
SAN PABLO
State
CA
ZIP
94805
On-site location
SALESFLOOR

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
10
Days restricted or transferred
99

Before the incident

NORMAL DUTIES

What happened

Per report Employee states she was ambulating with her cane employee slipped on ice with left foot but did not fall Presenting Complaint Left FOOT Left BACK LOWER LUMBAR SACRAL Left ARM LOWER Left ARM UPPER EE given a provider referral

Injury or illness

Strained Back Slipped Bodily reaction

Object or substance involved

Bodily reaction

Summary line

Per report Employee states she was ambulating with her cane employee slipped on ice with left foo

Employee and industry

Job description
Assistant Manag
SOC code
9999 — Uncoded
NAICS code
445110 — Supermarkets and Other Grocery Retailers except Convenience Retailers
NAICS vintage
2022
Avg employees
116
Total hours worked
71578
EIN
954297897
Establishment ID
1117584
Employer case #
13619

When (timing detail)

Date of incident
Shift started
17:00
Time of incident
19:22
Filing year
2024
Submitted
27FEB2025:00:31:00

More injuries at 20500002-568 STORE 568 - SAN PABLO

View 20500002-568 STORE 568 - SAN PABLO'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.