Moreno Valley, CA —
OSHA Injury Report: 704-00302
Injury · Job transfer or restriction
At a glance
On , an injury at 704-00302 in 12200 Perris Blvd, Moreno Valley, CA 92557 resulted in job transfer or restriction. Employee was frozen Food Clk in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 704-00302
- Parent company
- Food 4 Less FoodsCo
- Street
- 12200 Perris Blvd
- City
- Moreno Valley
- State
- CA
- ZIP
- 92557
- On-site location
- GROCERY FREEZER
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 27
Before the incident
MOVING CASE TO ANOTHER PALLET
What happened
EE WAS GOING TO GROCERY FREEZER AND WALKED INTO THE FREEZER AND WAS TRANSPORTING A CASE TO ANOTHER PALLET AND SLIPPED AND FELL DUE TO THE FLOOR BEING SLIPPERY INJURIES LOWER BACK IS IN PAIN
Injury or illness
Sprained Posterior Low back Fall from liquid orgrease SLIPPERY FLOOR
Object or substance involved
SLIPPERY FLOOR
Summary line
Sprained Posterior Low back Fall from liquid or grease SLIPPERY FLOOR
Employee and industry
- Job description
- Frozen Food Clk
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 71
- Total hours worked
- 92888
- EIN
- 330293011
- Establishment ID
- 967110
- Employer case #
- 854775
When (timing detail)
- Date of incident
- Shift started
- 23:34:00.000
- Time of incident
- 23:45:00.000
- Filing year
- 2023
- Submitted
- 28FEB24:17:06:00
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.