Pacoima, CA —
OSHA Injury Report: 704-00377
Injury · Days away from work
At a glance
On , an injury at 704-00377 in 12765 Van Nuys Blvd, Pacoima, CA 91331 resulted in days away from work. Employee was uTILITY CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 704-00377
- Parent company
- Food 4 Less FoodsCo
- Street
- 12765 Van Nuys Blvd
- City
- Pacoima
- State
- CA
- ZIP
- 91331
- On-site location
- PARKING LOT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
- Days restricted or transferred
- 177
Before the incident
[REDACTED] CARTS
What happened
EE WAS GATHERING CARTS AND TRIPPED OVER THE CONCRETE BUMPER AND HURT HIS LEFT SIDE LEFT KNEE AND [REDACTED]
Injury or illness
Bruised Left Knee Fall CONCRETE BUMPER
Object or substance involved
CONCRETE BUMPER
Summary line
Bruised Left Knee Fall CONCRETE BUMPER
Employee and industry
- Job description
- UTILITY CLERK
- 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
- 106200
- EIN
- 951456805
- Establishment ID
- 967172
- Employer case #
- 847649
When (timing detail)
- Date of incident
- Shift started
- 15:15:00.000
- Time of incident
- 21:30:00.000
- Filing year
- 2023
- Submitted
- 28FEB24:17:07:00
More injuries at 704-00377
View 704-00377'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.