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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Sun Valley, CA —

OSHA Injury Report: LCISM

Injury · Job transfer or restriction

At a glance

On , an injury at LCISM in 11630 Pendleton St., Sun Valley, CA 91325 resulted in job transfer or restriction. Employee was order Fulfillment in candy merchant wholesalers.

Where did this happen?

Establishment
LCISM
Parent company
Kiva Sales and Services
Street
11630 Pendleton St.
City
Sun Valley
State
CA
ZIP
91325
On-site location
Warehouse

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
30

Before the incident

sitting on an office chair doing quality assurance and checking product

What happened

the chair broke causing him to fall onto his left leg and injure his left knee

Injury or illness

left knee injury from falling off a broken chair

Object or substance involved

chair and ground

Summary line

left knee injury from falling off a broken chair

Employee and industry

Job description
Order Fulfillment
SOC code
9999 — Uncoded
NAICS code
424450 — Candy merchant wholesalers
NAICS vintage
2022
Avg employees
61
Total hours worked
104772
Establishment ID
918473
Employer case #
20

When (timing detail)

Date of incident
Shift started
12:36:00.000
Time of incident
14:35:00.000
Filing year
2023
Submitted
02MAR24:21:58:00

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View LCISM'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.