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Safety Incidents OSHA Severe Injury Reports · 2015–2025

VICTORVILLE, CA —

OSHA Injury Report: 2603-26030022 V22

Injury · Job transfer or restriction

At a glance

On , an injury at 2603-26030022 V22 in 12351 MARIPOSA RD., VICTORVILLE, CA 92395 resulted in job transfer or restriction. Employee was grocery Stocker in independent Supermarket.

Where did this happen?

Establishment
2603-26030022 V22
Parent company
Vallarta Food Enterprises dba Vallarta Supermarkets
Street
12351 MARIPOSA RD.
City
VICTORVILLE
State
CA
ZIP
92395
On-site location
Produce department

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
16

Before the incident

TM was bending down to stock produce.

What happened

TM was bending down to stock produce and upon attempting to stand upright he experienced back pain.

Injury or illness

strain back pain

Object or substance involved

bending down

Summary line

strain lower back

Employee and industry

Job description
Grocery Stocker
SOC code
53-7065 — Stockers and Order Fillers
NAICS code
445110 — Independent Supermarket
NAICS vintage
2012
Avg employees
158
Total hours worked
262637
EIN
954758260
Establishment ID
407350
Employer case #
1558-WC-2

When (timing detail)

Date of incident
Filing year
2025
Submitted
20JAN26:17:00:00

More injuries at 2603-26030022 V22

View 2603-26030022 V22's full OSHA safety record →

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.