Pomona, CA —
OSHA Injury Report: 704-00358
Injury · Job transfer or restriction
At a glance
On , an injury at 704-00358 in 2090 S Garey Ave, Pomona, CA 91766 resulted in job transfer or restriction. Employee was fuel Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 704-00358
- Parent company
- Food 4 Less FoodsCo
- Street
- 2090 S Garey Ave
- City
- Pomona
- State
- CA
- ZIP
- 91766
- On-site location
- FUEL CENTER AT KIOSK
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 114
Before the incident
USING BROOM TO SWEEP FLOOR
What happened
EE WAS SWEEPING A SUBSTANCE ON THE FLOOR EE WAS USING A BROOM AND NOTICED HER LT SHOULDER STARTED TO HAVE PAIN INJURIES LT SHOULDER IS IN PAIN
Injury or illness
Strained Left Shoulders Strained SELF
Object or substance involved
SELF
Summary line
Strained Left Shoulder Strained SELF
Employee and industry
- Job description
- Fuel Clerks
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 75
- Total hours worked
- 112860
- EIN
- 330293011
- Establishment ID
- 967159
- Employer case #
- 862448
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 10:00:00.000
- Filing year
- 2023
- Submitted
- 28FEB24:17:07:00
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View 704-00358's full OSHA safety record →
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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.