Lake Forest, CA —
OSHA Injury Report: 703-00079
Injury · Other recordable case
At a glance
On , an injury at 703-00079 in 21751 Lake Forest Dr, Lake Forest, CA 92630 resulted in other recordable case. Employee was fRONT END COURT in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 703-00079
- Parent company
- Ralphs Grocery Company
- Street
- 21751 Lake Forest Dr
- City
- Lake Forest
- State
- CA
- ZIP
- 92630
- On-site location
- GROCERY BACKROOM AT BAILER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
PUTTING CARDBOARD INTO BAILER
What happened
EE was putting cardboard into bailor and some card board and debris on the board flipped out and hit EE in the eye Injuries right eye with blurred vision
Injury or illness
Bruised Right Eye Struck by object CARDBOARD BOX FLAP
Object or substance involved
CARDBOARD BOX FLAP
Summary line
Bruised Right Eye Struck by object CARDBOARD BOX FLAP
Employee and industry
- Job description
- FRONT END COURT
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 71
- Total hours worked
- 100883
- EIN
- 954356030
- Establishment ID
- 966961
- Employer case #
- 857275
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 9:00:00.000
- Filing year
- 2023
- Submitted
- 28FEB24:17:29:00
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View 703-00079'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.