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SIMI VALLEY, CA —

OSHA Injury Report: ABS-0029-0028-00393 FAC-00393-SIMI VALLEY-CA

Respiratory condition · Days away from work

At a glance

On , a respiratory condition at ABS-0029-0028-00393 FAC-00393-SIMI VALLEY-CA in 1268 MADERA ROAD, SIMI VALLEY, CA 93065 resulted in days away from work. Employee was gM HBC Clerk in supermarkets and Other Grocery (except Convenience) Stores.

Where did this happen?

Establishment
ABS-0029-0028-00393 FAC-00393-SIMI VALLEY-CA
Parent company
Albertson's LLC
Street
1268 MADERA ROAD
City
SIMI VALLEY
State
CA
ZIP
93065
On-site location
DELI

What was the outcome?

Outcome
Days away from work (code 2)
Type
Respiratory condition (code 3)
Days away from work
5

Before the incident

NORMAL DUTIES

What happened

Tested Positive for COVID - 19

Injury or illness

COVID-19 Respiratory system Pandemic COVID19

Object or substance involved

COVID 19

Summary line

Tested Positive for COVID - 19

Employee and industry

Job description
GM HBC Clerk
SOC code
41-2031 — Retail Salespersons
NAICS code
445110 — Supermarkets and Other Grocery (except Convenience) Stores
NAICS vintage
2022
Avg employees
107
Total hours worked
170834
EIN
820184434
Establishment ID
1140500
Employer case #
81853

When (timing detail)

Date of incident
Shift started
0:00:00.000
Time of incident
12:00:00.000
Submitted
20FEB24:22:49:00

More injuries at ABS-0029-0028-00393 FAC-00393-SIMI VALLEY-CA

View ABS-0029-0028-00393 FAC-00393-SIMI VALLEY-CA's full OSHA safety record →

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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.