NORTH HOLLYWOOD, CA —
OSHA Injury Report: 2603-26030009 V09
Injury · Other recordable case
At a glance
On , an injury at 2603-26030009 V09 in 10859 OXNARD ST., NORTH HOLLYWOOD, CA 91606 resulted in other recordable case. Employee was janitor in independent Supermarket.
Where did this happen?
- Establishment
- 2603-26030009 V09
- Parent company
- Vallarta Food Enterprises dba Vallarta Supermarkets
- Street
- 10859 OXNARD ST.
- City
- NORTH HOLLYWOOD
- State
- CA
- ZIP
- 91606
- On-site location
- Store warehouse
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking thru the store 's warehouse
What happened
While the EE was walking thru the warehouse another EE was holding a metal frame that had a sharp edge when the EE went by him accidentally lacerated his left eyebrow
Injury or illness
laceration to the left eyebrow
Object or substance involved
edge of metal frame
Summary line
The EE was walking thru the warehouse when he lacerated his left eyebrow with a metal frame
Employee and industry
- Job description
- Janitor
- SOC code
- 37-2011 — Janitors and Cleaners, Except Maids and Housekeeping Cleaners
- NAICS code
- 445110 — Independent Supermarket
- NAICS vintage
- 2022
- Avg employees
- 55
- Total hours worked
- 148590
- EIN
- 954602362
- Establishment ID
- 407342
- Employer case #
- 1558-WC-23
When (timing detail)
- Date of incident
- Filing year
- 2023
- Submitted
- 26JAN24:23:30:00
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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.