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SAN CLEMENTE, CA —

OSHA Injury Report: ABS-0029-0028-04563 FAC-04563-SAN CLEMENTE-CA

Injury · Job transfer or restriction

At a glance

On , an injury at ABS-0029-0028-04563 FAC-04563-SAN CLEMENTE-CA in 989 AVENDIA PICO, SAN CLEMENTE, CA 92673 resulted in job transfer or restriction. Employee was gM HBC Clerk in supermarkets and Other Grocery (except Convenience) Stores.

Where did this happen?

Establishment
ABS-0029-0028-04563 FAC-04563-SAN CLEMENTE-CA
Parent company
The Vons Companies, Inc
Street
989 AVENDIA PICO
City
SAN CLEMENTE
State
CA
ZIP
92673
On-site location
COFFEE KIOSK

What was the outcome?

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

Before the incident

PRODUCT TRANSFER MATERIAL HANDLING

What happened

Employee stated that right arm near bicep was hurting around [REDACTED] on [REDACTED]. Employee stated that [REDACTED] they are unable to use their arm and came to work to tell managment

Injury or illness

Sprained Right Lower arm Strained MATERIAL AT COFEE SHOP

Object or substance involved

MATERIAL AT COFEE SHOP

Summary line

Employee stated that right arm near bicep was hurting around [REDACTED] on [REDACTED]. Employee stated that [REDACTED] they are unable to use their arm and came to work to tell managment

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
105
Total hours worked
177898
EIN
381623900
Establishment ID
1142016
Employer case #
81318

When (timing detail)

Date of incident
Shift started
7:00:00.000
Time of incident
14:30:00.000
Submitted
21FEB24:00:40:00

More injuries at ABS-0029-0028-04563 FAC-04563-SAN CLEMENTE-CA

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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.