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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 2603-26030004 V04

Injury · Other recordable case

On , an injury at 2603-26030004 V04 in 440 E. PALMDALE BLVD., PALMDALE, CA 93550 resulted in other recordable case. Employee was security Officer in independent Supermarket.

Establishment
2603-26030004 V04
Parent company
Vallarta Food Enterprises dba Vallarta Supermarkets
Street
440 E. PALMDALE BLVD.
City
PALMDALE
State
CA
ZIP
93550
On-site location
Inside the store
Outcome
Other recordable case (code 4)
Type
Injury (code 1)

EE was attempting to retrieve stolen merchandise from a shoplifter

In the process of casing a shoplifter he was running and twisted his right knee

DX: Patellar Tendonitis right knee sprain posterior cruciate ligament of Rt knee

EE was running

EE was attempting to retrieve some stolen merchandise and while running he twisted his right knee

Job description
Security Officer
SOC code
33-9032 — Security Guards
NAICS code
445110 — Independent Supermarket
NAICS vintage
2022
Avg employees
77
Total hours worked
185229
EIN
954602362
Establishment ID
407339
Employer case #
1558-WC-23
Date of incident
Filing year
2023
Submitted
30JAN24:00:00:00

View 2603-26030004 V04'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.