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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 704-00396

Respiratory condition · Days away from work

On , a respiratory condition at 704-00396 in 3000 Baldwin Park Blvd, Baldwin Park, CA 91706 resulted in days away from work. Employee was sERVICE COUNTER CLERK in supermarkets and Other Grocery Except Convenience Stores.

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Establishment
704-00396
Parent company
Food 4 Less FoodsCo
Street
3000 Baldwin Park Blvd
City
Baldwin Park
State
CA
ZIP
91706
On-site location
Front End
Outcome
Days away from work (code 2)
Type
Respiratory condition (code 3)
Days away from work
5

Performing job duties

EE is alleging contracing COVID 19 while at work

COVID 19 Lungs Pandemic COVID 19

Covid-19

COVID 19 Lungs Pandemic COVID 19

Job description
SERVICE COUNTER CLERK
SOC code
9999 — Uncoded
NAICS code
445110 — Supermarkets and Other Grocery Except Convenience Stores
NAICS vintage
2022
Avg employees
64
Total hours worked
96111
EIN
330293011
Establishment ID
967185
Employer case #
24_211442
Date of incident
Filing year
2023
Submitted
28FEB24:17:07:00

View 704-00396's full OSHA safety record →

WM 4464

WM 3385

087-RCDC

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.