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LAKE HAVASU CITY, AZ —

OSHA Injury Report: ABS-0017-0016-03204 FAC-03204-LAKE HAVASU CITY-AZ

Injury · Days away from work

At a glance

On , an injury at ABS-0017-0016-03204 FAC-03204-LAKE HAVASU CITY-AZ in 1980 MCCULLOCH BLVD, LAKE HAVASU CITY, AZ 86403 resulted in days away from work. Employee was deli Clerk in supermarkets and Other Grocery (except Convenience) Stores.

Where did this happen?

Establishment
ABS-0017-0016-03204 FAC-03204-LAKE HAVASU CITY-AZ
Parent company
Albertson's LLC
Street
1980 MCCULLOCH BLVD
City
LAKE HAVASU CITY
State
AZ
ZIP
86403
On-site location
DELI

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
3
Days restricted or transferred
45

Before the incident

CLEANING - CASE EQUIPMENT OR TOOLS

What happened

My [REDACTED] associate [REDACTED] fell in the [REDACTED] when going to get the mop in the back

Injury or illness

Bruised Left Elbow Fall MOP

Object or substance involved

MOP

Summary line

My [REDACTED] associate [REDACTED] fell in the [REDACTED] when going to get the mop in the back

Employee and industry

Job description
Deli Clerk
SOC code
35-3023 — Fast Food and Counter Workers
NAICS code
445110 — Supermarkets and Other Grocery (except Convenience) Stores
NAICS vintage
2022
Avg employees
127
Total hours worked
201519
EIN
820184434
Establishment ID
1140251
Employer case #
64971

When (timing detail)

Date of incident
Shift started
9:30:00.000
Time of incident
17:20:00.000
Submitted
20FEB24:22:47:00

More injuries at ABS-0017-0016-03204 FAC-03204-LAKE HAVASU CITY-AZ

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Source

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