Van Nuys, CA —
OSHA Injury Report: 703-00063
Injury · Job transfer or restriction
At a glance
On , an injury at 703-00063 in 12921 Magnolia Blvd, Van Nuys, CA 91423 resulted in job transfer or restriction. Employee was gROCERY DEPT LE in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 703-00063
- Parent company
- Ralphs Grocery Company
- Street
- 12921 Magnolia Blvd
- City
- Van Nuys
- State
- CA
- ZIP
- 91423
- On-site location
- GROCERY SALES FLOOR AISLE 9
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 170
Before the incident
STOCKING LIFTING CASES OF WATER
What happened
After Stacking water the EE felt pain in the RT elbow area with radiating pain down arm when lifting
Injury or illness
Injured Right Elbow Lifting CASES OF WATER
Object or substance involved
CASES OF WATER
Summary line
Injured Right Elbow Lifting CASES OF WATER
Employee and industry
- Job description
- GROCERY DEPT LE
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 77
- Total hours worked
- 115677
- EIN
- 954356030
- Establishment ID
- 966950
- Employer case #
- 859512
When (timing detail)
- Date of incident
- Shift started
- 1:00:00.000
- Time of incident
- 4:00:00.000
- Filing year
- 2023
- Submitted
- 28FEB24:17:29:00
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View 703-00063'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.