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SIMI VALLEY, CA —

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

Injury · Other recordable case

At a glance

On , an injury at ABS-0029-0028-00393 FAC-00393-SIMI VALLEY-CA in 1268 MADERA ROAD, SIMI VALLEY, CA 93065 resulted in other recordable case. Employee was food 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
PRODUCE

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

OTHER

What happened

[REDACTED] Alleges 1.5 Hours Ago After Repeatedly Asking A Coworker For Assistance With Breaking Down A Load His Coworker Became really Mad And Started Verbally Insulting Him And As The [REDACTED] Turned Around To Walk Away His Coworker Grabbed Him From The Back

Injury or illness

Bruised Right Shoulder(s) Struck against COWORKER

Object or substance involved

COWORKER

Summary line

[REDACTED] Alleges 1.5 Hours Ago After Repeatedly Asking A Coworker For Assistance With Breaking Down A Load His Coworker Became really Mad And Started Verbally Insulting Him And As The [REDACTED] Turned Around To Walk Away His Coworker Grabbed Him From T

Employee and industry

Job description
Food Clerk
SOC code
53-7065 — Stockers and Order Fillers
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 #
90098

When (timing detail)

Date of incident
Shift started
11:00:00.000
Time of incident
13:50:00.000
Submitted
20FEB24:22:49:00

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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.