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1 | LOB | PolicyNumber | Policy#Suffix | PolicyId | EffectiveDate | ExpirationDate | CancellationDate | DeductibleAmount | InsuredName | BrokerName | ClaimNumber | ClaimantStatus | LossDate | LossDescription | LossTypeDesc | LossLocation | AdjusterName | OccupationClassCd | ResultingInjuryDesc | PartInjuredDesc | StateOfJurisdiction | ClosedDate | ReopenedDate | ReportedDate | IndemnityReserves | IndemnityPayments | IndemnityRecoveries | IndemnityIncurred | MedicalReserves | MedicalPayments | MedicalRecoveries | MedicalIncurred | LossReserves | LossPayments | LossRecoveries | LossIncurred | LegalReserves | LegalPayments | LegalRecoveries | LegalIncurred | ExpenseReserves | ExpensePayments | ExpenseRecoveries | ExpenseIncurred | OtherReserves | OtherPayments | OtherRecoveries | OtherIncurred | TotalReserves | TotalPayments | TotalRecoveries | TotalIncurred | ClaimantName | ClaimantDOB | ClaimantHireDate | ClaimantDepartment | DateFirstAware | Valuation_Date | Carrier | Delay in Claim Reporting to Carrier (In Days) | Cause - Hierarchy | Body Part - Hierarchy |
2 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 1 | Closed | 01/03/23 | EE fell from ladder injuring right shoulder. | Medical | Kingsburg, CA 93631 | 0016 0016 | Fall or Slip - From Ladder or Scaffolding | Shoulder(s) | CA | 0 | 0 | 0 | 0 | 1608.28 | 1608.28 | 0.00 | 1,608.28 | 0.00 | 1,608.28 | 0 | 383.02 | 383.02 | 0 | 1991.3 | 1991.3 | Diaz, Juan Francisco | 11/01/23 | Southern Insurance Co | Fall, Slip or Trip Injury | Upper Extremities | ||||||||||||||||||||||||
3 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 2 | Closed | 01/06/23 | The employee was cutting some branches from a tree that fell during the rain and he did not realize there was branches of poison ivy. | Indemnity | Kingsburg, CA 93631 | 0040 0040 | Strain or Injury By - Miscellaneous (NOC) | Multiple Body Parts | CA | 0 | 87.62 | 87.62 | 0 | 460.03 | 460.03 | 0.00 | 547.65 | 0.00 | 547.65 | 0 | 20.23 | 20.23 | 0 | 567.88 | 567.88 | Escamilla, Francisco | 11/01/23 | Southern Insurance Co | Strain or Injury by | Multiple Body Parts | ||||||||||||||||||||||||
4 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 3 | Open | 01/17/23 | The employee was picking up irrigation hose from the ground by the edge of the grape block and fell hurting his left leg and left | Indemnity | Kingsburg, CA 93631 | 0040 0040 | Fall or Slip - Miscellaneous (NOC) | Multiple Body Parts | CA | 1828.1 | 13796.72 | 15624.82 | 5542.75 | 6457.25 | 12000 | 7,370.85 | 20,253.97 | 0.00 | 27,624.82 | 1680.63 | 819.37 | 2500 | 9051.48 | 21073.34 | 30124.82 | Sanchez, Vicente | 11/01/23 | Southern Insurance Co | Fall, Slip or Trip Injury | Lower Extremities | ||||||||||||||||||||||||
5 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 4 | Closed | 01/21/23 | EE stepped in a hole and twisted right ankle. | Indemnity | Kingsburg, CA 93631 | 0045 0045 | Fall or Slip - Into Openings | Ankle | CA | 0 | 2846.07 | 2846.07 | 0 | 1879.75 | 1879.75 | 0.00 | 4,725.82 | 0.00 | 4,725.82 | 0 | 454.55 | 454.55 | 0 | 5180.37 | 5180.37 | Leon Rios, Esperanza | 11/01/23 | Southern Insurance Co | Fall, Slip or Trip Injury | Lower Extremities | ||||||||||||||||||||||||
6 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 5 | Closed | 01/23/23 | Chest pain, Musculoskeletal | Indemnity | Kingsburg, CA 93631 | 0040 0040 | Strain or Injury By - Repetitive Motion | Chest (Incl. Ribs, Strenum, & So | CA | 01/25/23 | 0 | 0 | 0 | 0 | 184.7 | 184.7 | 0.00 | 184.70 | 0.00 | 184.70 | 0 | 3.75 | 3.75 | 0 | 188.45 | 188.45 | Cruz, Jacinto | 11/01/23 | Southern Insurance Co | 2 | Strain or Injury by | Trunk | ||||||||||||||||||||||
7 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 6 | Closed | 01/24/23 | EE lifted ATV and felt pain from right arm up to the shoulder. | Medical | Kingsburg, CA 93631 | 0172 0172 | Strain or Injury By - Lifting | Elbow | CA | 01/26/23 | 0 | 0 | 0 | 0 | 605.33 | 605.33 | 0.00 | 605.33 | 0.00 | 605.33 | 0 | 407.68 | 407.68 | 0 | 1013.01 | 1013.01 | Magdaleno Torres, Jesus | 11/01/23 | Southern Insurance Co | 2 | Strain or Injury by | Upper Extremities | ||||||||||||||||||||||
8 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 7 | Closed | 01/30/23 | EE slipped and fell down on top of crate. | Medical | Kingsburg, CA 93631 | 0040 0040 | Fall or Slip - From Different Level | Chest (Incl. Ribs, Strenum, & So | CA | 02/03/23 | 0 | 0 | 0 | 0 | 537.51 | 537.51 | 0.00 | 537.51 | 0.00 | 537.51 | 0 | 360.46 | 360.46 | 0 | 897.97 | 897.97 | Pascual Luna, Jose | 11/01/23 | Southern Insurance Co | 4 | Fall, Slip or Trip Injury | Trunk | ||||||||||||||||||||||
9 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 8 | Closed | 01/30/23 | Employee was ontop of crate working on tall vines when he got a cramp on his hands and feet falling back and hitting his head losing | Medical | Kingsburg, CA 93631 | 0040 0040 | Fall or Slip - From Different Level | Multiple Head Injury | CA | 0 | 0 | 0 | 0 | 1508.86 | 1508.86 | 0.00 | 1,508.86 | 0.00 | 1,508.86 | 0 | 66 | 66 | 0 | 1574.86 | 1574.86 | Bravo, Reymundo | 11/01/23 | Southern Insurance Co | Fall, Slip or Trip Injury | Head | ||||||||||||||||||||||||
10 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 9 | Closed | 01/31/23 | EE was hit in left eye by grape stem. | Medical | Kingsburg, CA 93631 | 0040 0040 | Struck or Injured By - Object Lifted or Handled | Eye(s) | CA | 02/02/23 | 0 | 0 | 0 | 0 | 488.88 | 488.88 | 0.00 | 488.88 | 0.00 | 488.88 | 0 | 25.19 | 25.19 | 0 | 514.07 | 514.07 | Ortiz, Raul | 11/01/23 | Southern Insurance Co | 2 | Struck or Injured by | Head | ||||||||||||||||||||||
11 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 10 | Closed | 02/02/23 | EE was hit on the lip with pruning shears. | Medical | Kingsburg, CA 93631 | 0045 0045 | Strain or Injury By - Using Tool or Machinery | Mouth | CA | 0 | 0 | 0 | 0 | 475.55 | 475.55 | 0.00 | 475.55 | 0.00 | 475.55 | 0 | 24.87 | 24.87 | 0 | 500.42 | 500.42 | Banegas, Jorge | 11/01/23 | Southern Insurance Co | Strain or Injury by | Head | ||||||||||||||||||||||||
12 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 11 | Open | 02/04/23 | Employee was checking irrigation pump. He bent down to pick up a bucket that is used to fuel the irrigation pump. The bucket was | Indemnity | Kingsburg, CA 93631 | 0016 0016 | Strain or Injury By - Miscellaneous (NOC) | Multiple Upper Extremities | CA | 41398.71 | 11149.34 | 52548.05 | 74839.09 | 127339.88 | 202178.97 | 116,237.80 | 138,489.22 | 0.00 | 254,727.02 | 27397.12 | 7301.06 | 34698.18 | 143634.92 | 145790.28 | 289425.2 | Guzman Osuna, Enrique | 11/01/23 | Southern Insurance Co | Strain or Injury by | Upper Extremities | ||||||||||||||||||||||||
13 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 12 | Closed | 02/07/23 | EE was stung by a bee on right side of the face (eyebrow). | Medical | Kingsburg, CA 93631 | 0040 0040 | Misc. Causes - Foreign Matter (Body) in Eye(s) | Eye(s) | CA | 0 | 0 | 0 | 0 | 346.86 | 346.86 | 0.00 | 346.86 | 0.00 | 346.86 | 0 | 60.64 | 60.64 | 0 | 407.5 | 407.5 | Gaona, Jazmin | 11/01/23 | Southern Insurance Co | Misc | Head | ||||||||||||||||||||||||
14 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 13 | Closed | 02/07/23 | EE jumped off ladder and felt pain to left knee. | Medical | Kingsburg,CA 93631 | 0045 0045 | Strain or Injury By - Miscellaneous (NOC) | Knee | CA | 0 | 0 | 0 | 0 | 1342.59 | 1342.59 | 0.00 | 1,342.59 | 0.00 | 1,342.59 | 0 | 500.95 | 500.95 | 0 | 1843.54 | 1843.54 | Venancio, Mariano | 11/01/23 | Southern Insurance Co | Strain or Injury by | Lower Extremities | ||||||||||||||||||||||||
15 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 14 | Closed | 02/09/23 | EE poked right eye with a pomegranate branch. | Medical | Kingsburg, CA 93631 | 0016 0016 | Misc. Causes - Foreign Matter (Body) in Eye(s) | Eye(s) | CA | 0 | 0 | 0 | 0 | 547.52 | 547.52 | 0.00 | 547.52 | 0.00 | 547.52 | 0 | 40.09 | 40.09 | 0 | 587.61 | 587.61 | Salinas Quintas, Lucia | 11/01/23 | Southern Insurance Co | Misc | Head | ||||||||||||||||||||||||
16 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 15 | Open | 02/09/23 | EE hit his head on a metal pipe. | Indemnity | Kingsburg, CA 93631 | 0172 0172 | Strain or Injury By - Miscellaneous (NOC) | Multiple Upper Extremities | CA | 6613.33 | 0 | 6613.33 | 24723.38 | 2893.21 | 27616.59 | 31,336.71 | 2,893.21 | 0.00 | 34,229.92 | 4458.73 | 1359.39 | 5818.12 | 35795.44 | 4252.6 | 40048.04 | Cisneros, Salvador | 11/01/23 | Southern Insurance Co | Strain or Injury by | Head | ||||||||||||||||||||||||
17 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 16 | Closed | 02/13/23 | EE was climbing down a tractor and when he put his foot down, he twisted his ankle. | Indemnity | Kingsburg, CA 93631 | 0172 0172 | Strain or Injury By - Twisting | Ankle | CA | 02/15/23 | 0 | 6580.42 | 6580.42 | 0 | 7952.03 | 7952.03 | 0.00 | 14,532.45 | 0.00 | 14,532.45 | 0 | 640.49 | 640.49 | 0 | 15172.94 | 15172.94 | Ortiz Martinez, Fabian | 11/01/23 | Southern Insurance Co | 2 | Strain or Injury by | Lower Extremities | ||||||||||||||||||||||
18 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 17 | Closed | 02/14/23 | EE got left over residue splashed onto his left side face and eye | Medical | Kingsburg, CA 93631 | 0040 0040 | Misc. Causes - Foreign Matter (Body) in Eye(s) | Eye(s) | CA | 0 | 0 | 0 | 0 | 1229.72 | 1229.72 | 0.00 | 1,229.72 | 0.00 | 1,229.72 | 0 | 358.21 | 358.21 | 0 | 1587.93 | 1587.93 | Garcia Garcia, Hermelo | 11/01/23 | Southern Insurance Co | Misc | Head | ||||||||||||||||||||||||
19 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 18 | Closed | 02/15/23 | EE tripped and fell on right hand. | Indemnity | Kingsburg, CA 93631 | 0045 0045 | Fall or Slip - On Same Level | Multiple Upper Extremities | CA | 0 | 2625 | 2625 | 0 | 16557 | 16557 | 0.00 | 19,182.00 | 0.00 | 19,182.00 | 0 | 4076.13 | 4076.13 | 0 | 23258.13 | 23258.13 | Martinez, Rigoberto | 11/01/23 | Southern Insurance Co | Fall, Slip or Trip Injury | Upper Extremities | ||||||||||||||||||||||||
20 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 19 | Closed | 02/20/23 | Employee was at the press machine that loosens up the soles of the plants, He tried unclogging a tray that got stuck with his left hand | Indemnity | Kingsburg, CA 93631 | 0005 0005 | Cut,Puncture, Scrape - Miscellaneus (NOC) | Finger(s) | CA | 0 | 345.67 | 345.67 | 0 | 1408.06 | 1408.06 | 0.00 | 1,753.73 | 0.00 | 1,753.73 | 0 | 59.6 | 59.6 | 0 | 1813.33 | 1813.33 | Lavin Delgado, Rosendo | 11/01/23 | Southern Insurance Co | Cut, Puncture, Scrape Injured by | Upper Extremities | ||||||||||||||||||||||||
21 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 20 | Closed | 02/20/23 | Employee was spraying when he wanted to get off the tractor, he slipped on the last step and fell to the ground with all his weight on | Indemnity | Kingsburg,CA 93631 | 0016 0016 | Fall or Slip - From Different Level | Multiple Lower Extremities | CA | 0 | 2105.94 | 2105.94 | 0 | 1463.67 | 1463.67 | 0.00 | 3,569.61 | 0.00 | 3,569.61 | 0 | 134.08 | 134.08 | 0 | 3703.69 | 3703.69 | Perez, David Francisco | 11/01/23 | Southern Insurance Co | Fall, Slip or Trip Injury | Lower Extremities | ||||||||||||||||||||||||
22 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 21 | Open | 02/21/23 | IW was helping coworker pull out almond sweeper with a tractor. IW was getting off the tractor when his co-worker crashed into IW | Indemnity | CA | 0005 0005 | Misc. Causes - Other (NOC) | Multiple Lower Extremities | CA | 1238.45 | 1350 | 2588.45 | 8812.27 | 6187.73 | 15000 | 10,050.72 | 7,537.73 | 0.00 | 17,588.45 | 8145.41 | 3866.04 | 12011.45 | 18196.13 | 11403.77 | 29599.9 | Murillo Garcia, Jose Antonio | 11/01/23 | Southern Insurance Co | Misc | Lower Extremities | ||||||||||||||||||||||||
23 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 22 | Closed | 03/01/23 | EE got a small piece of metal in right eye. | Medical | Kingsburg, CA 93631 | 0172 0172 | Struck or Injured By - Falling or Flying Object | Eye(s) | CA | 0 | 0 | 0 | 0 | 580.09 | 580.09 | 0.00 | 580.09 | 0.00 | 580.09 | 0 | 24.17 | 24.17 | 0 | 604.26 | 604.26 | Perez, Luis | 11/01/23 | Southern Insurance Co | Struck or Injured by | Head | ||||||||||||||||||||||||
24 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 23 | Open | 03/08/23 | EE was grabbing the electrical conveyer belt to roll inside the green house when another employee grabbed a forklift that was one side | Indemnity | Kingsburg, CA 93631 | 0005 0005 | Struck or Injured By- Hand Tool or Machine in | Foot | CA | 2755.46 | 20113.02 | 22868.48 | 3822.96 | 32437.08 | 36260.04 | 6,578.42 | 52,550.10 | 0.00 | 59,128.52 | 4426.18 | 5084.31 | 9510.49 | 11004.6 | 57634.41 | 68639.01 | Cruz Martinez, German | 11/01/23 | Southern Insurance Co | Struck or Injured by | Lower Extremities | ||||||||||||||||||||||||
25 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 24 | Closed | 03/28/23 | EE was sprayed in the face by hose. | Medical | Kingsburg, CA 93631 | 0172 0172 | Misc. Causes - Absorption/Ingestion/Inhalation | Other Head Soft Tissue | CA | 0 | 0 | 0 | 0 | 648.12 | 648.12 | 0.00 | 648.12 | 0.00 | 648.12 | 0 | 320.98 | 320.98 | 0 | 969.1 | 969.1 | Jimenez, Fernando | 11/01/23 | Southern Insurance Co | Misc | Head | ||||||||||||||||||||||||
26 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 25 | Closed | 04/05/23 | EE was checking the water irrigaton system when reversing from one field row to enter another row he pressed the gas pedal hard | Medical | Kingsburg, CA 93631 | 0016 0016 | Motor Vehicle - Vehicle Upset | Elbow | CA | 0 | 0 | 0 | 0 | 582.88 | 582.88 | 0.00 | 582.88 | 0.00 | 582.88 | 0 | 36.62 | 36.62 | 0 | 619.5 | 619.5 | Hernandez, Luis Osorio | 11/01/23 | Southern Insurance Co | Motor Vehicle | Upper Extremities | ||||||||||||||||||||||||
27 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 26 | Open | 04/06/23 | EE was fixing a water block leak for the almonds and I slipped and twisted right knee | Indemnity | Kingsburg, CA 93631 | 2107 2107 | Fall or Slip - On Same Level | Knee | CA | 5564.8 | 19680.64 | 25245.44 | 14809.56 | 5190.44 | 20000 | 20,374.36 | 24,871.08 | 0.00 | 45,245.44 | 4113.37 | 386.63 | 4500 | 24487.73 | 25257.71 | 49745.44 | Nava De Jesus, Rene | 11/01/23 | Southern Insurance Co | Fall, Slip or Trip Injury | Lower Extremities | ||||||||||||||||||||||||
28 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 27 | Open | 04/13/23 | Pls Verify injury | Indemnity | Kingsburg, CA 93631 | 0005 0005 | Strain or Injury By - Miscellaneous (NOC) | Shoulder(s) | CA | 3940 | 1260 | 5200 | 2317.71 | 2682.29 | 5000 | 6,257.71 | 3,942.29 | 0.00 | 10,200.00 | 7007 | 4002.18 | 11009.18 | 13264.71 | 7944.47 | 21209.18 | Acosta, Monica | 11/01/23 | Southern Insurance Co | Strain or Injury by | Upper Extremities | ||||||||||||||||||||||||
29 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 28 | Closed | 04/20/23 | EE was poked in left eye by a branch. | Medical | Kingsburg,CA 93631 | 0016 0016 | Struck or Injured By - Falling or Flying Object | Eye(s) | CA | 0 | 0 | 0 | 0 | 492.04 | 492.04 | 0.00 | 492.04 | 0.00 | 492.04 | 0 | 320.27 | 320.27 | 0 | 812.31 | 812.31 | Lopez, Leobardo | 11/01/23 | Southern Insurance Co | Struck or Injured by | Head | ||||||||||||||||||||||||
30 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 29 | Closed | 05/08/23 | EE was lifting sulfur sprayer machine and felt a pop/pain to lower back. | Medical | Kingsburg, CA 93631 | 0045 0045 | Strain or Injury By - Lifting | Back Lower/ Lumbar / Sacral | CA | 0 | 0 | 0 | 0 | 506.78 | 506.78 | 0.00 | 506.78 | 0.00 | 506.78 | 0 | 424.93 | 424.93 | 0 | 931.71 | 931.71 | Garcia Camarillo, Claudio | 11/01/23 | Southern Insurance Co | Strain or Injury by | Trunk | ||||||||||||||||||||||||
31 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 30 | Closed | 05/11/23 | EE was poked in right eye by branch. | Medical | Kingsburg, CA 93631 | 0045 0045 | Strike Against/Step On - Object Handled or | Eye(s) | CA | 0 | 0 | 0 | 0 | 587.37 | 587.37 | 0.00 | 587.37 | 0.00 | 587.37 | 0 | 317.69 | 317.69 | 0 | 905.06 | 905.06 | Xula, Maria | 11/01/23 | Southern Insurance Co | Striking Against or Stepping on | Head | ||||||||||||||||||||||||
32 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 31 | Closed | 05/12/23 | Employee was walking out from the shop after taking his break when he began to feel dizzy and less than 2 seconds lost | Medical | Kingsburg, CA 93631 | 0045 0045 | Fall or Slip - On Same Level | Soft Tissue | CA | 0 | 0 | 0 | 0 | 1490.97 | 1490.97 | 0.00 | 1,490.97 | 0.00 | 1,490.97 | 0 | 84.53 | 84.53 | 0 | 1575.5 | 1575.5 | Urzua Ramirez, Marco Antonio | 11/01/23 | Southern Insurance Co | Fall, Slip or Trip Injury | Neck | ||||||||||||||||||||||||
33 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 32 | Closed | 05/16/23 | EE was mixing pesticide chemicals and began to feel his face burn | Medical | Kingsburg, CA 93631 | 0045 0045 | Burn or Scald - Chemicals | Other Head Soft Tissue | CA | 05/19/23 | 0 | 0 | 0 | 0 | 326.55 | 326.55 | 0.00 | 326.55 | 0.00 | 326.55 | 0 | 21.3 | 21.3 | 0 | 347.85 | 347.85 | A Estevez, Jose | 11/01/23 | Southern Insurance Co | 3 | Burn or Scald - Heat or Cold Exposures - Contact With | Head | ||||||||||||||||||||||
34 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 33 | Closed | 05/17/23 | EE states :after finishing his work shift and went home he stated to have pain in his throat | Medical | Kingsburg, CA 93631 | 0045 0045 | Misc. Causes - Absorption/Ingestion/Inhalation | Internal Organs | CA | 0 | 0 | 0 | 0 | 547.53 | 547.53 | 0.00 | 547.53 | 0.00 | 547.53 | 0 | 1239.24 | 1239.24 | 0 | 1786.77 | 1786.77 | Avila, Salvador | 11/01/23 | Southern Insurance Co | Misc | Misc | ||||||||||||||||||||||||
35 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 34 | Open | 05/18/23 | EE was setting up a 15 foot wooden post that weighs 60 lbs to get pounded in with a post pounder machine by his coworker as his | Indemnity | Kingsburg, Ca 93631, | 0040 0040 | Strike Against/Step On - Object Handled or | Back Upper/ Thoracic Spine | CA | 5455.15 | 4528.53 | 9983.68 | 4797.44 | 20202.56 | 25000 | 10,252.59 | 24,731.09 | 0.00 | 34,983.68 | 3498.25 | 1002 | 4500.25 | 13750.84 | 25733.09 | 39483.93 | Gonzalez, Oscar | 11/01/23 | Southern Insurance Co | Striking Against or Stepping on | Trunk | ||||||||||||||||||||||||
36 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 35 | Closed | 05/20/23 | Kings Medical Center5135 W Noble Ave , Visalia, Ca 93277 | Indemnity | Kingsburg, CA 93631 | 0016 0016 | Causes - Absorption/Ingestion/Inhalation | Shoulder(s) | CA | 0 | 67.71 | 67.71 | 0 | 167.64 | 167.64 | 0.00 | 235.35 | 0.00 | 235.35 | 0 | 13.59 | 13.59 | 0 | 248.94 | 248.94 | Hernandez Paniagua, Angeles | 11/01/23 | Southern Insurance Co | Misc | Upper Extremities | ||||||||||||||||||||||||
37 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 36 | Closed | 06/01/23 | EE was spraying pomegranites when the spray gun got jammed in the tire causing the gun to shoot pesticide everywhere . EE tried | Medical | Kingsburg, CA 93631 | 0040 0040 | Misc. Causes - Absorption/Ingestion/Inhalation | Multiple Upper Extremities | CA | 0 | 0 | 0 | 0 | 282.04 | 282.04 | 0.00 | 282.04 | 0.00 | 282.04 | 0 | 306.04 | 306.04 | 0 | 588.08 | 588.08 | Aguilar, Manuel | 11/01/23 | Southern Insurance Co | MIsc | Upper Extremities | ||||||||||||||||||||||||
38 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 37 | Closed | 05/30/23 | EE was removing wooden stakes that were very stuck onto the ground and as he pulled he fell backwards putting all his weight onto | Indemnity | Kingsburg,CA 93631 | 0016 0016 | Strain or Injury By - Pushing or Pulling | Foot | CA | 0 | 5456.31 | 5456.31 | 0 | 3346.12 | 3346.12 | 0.00 | 8,802.43 | 0.00 | 8,802.43 | 0 | 407.55 | 407.55 | 0 | 9209.98 | 9209.98 | Vasquez Rojas, Natalio | 11/01/23 | Southern Insurance Co | Strain or Injury by | Lower Extremities | ||||||||||||||||||||||||
39 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 38 | Closed | 05/29/23 | EE got debris in right eye. | Medical | Kingsburg,CA 93631 | 0172 0172 | Struck or Injured By - Falling or Flying Object | Eye(s) | CA | 0 | 0 | 0 | 0 | 783.42 | 783.42 | 0.00 | 783.42 | 0.00 | 783.42 | 0 | 314.54 | 314.54 | 0 | 1097.96 | 1097.96 | Vasquez, Delfino | 11/01/23 | Southern Insurance Co | Struck or Injured by | Head | ||||||||||||||||||||||||
40 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 39 | Open | 05/24/23 | EE put the hose to the spray tank to fill up with pesticide chemical when he turned back to open the faucet he sat the tractor reversing | Indemnity | Kingsburg, CA 93631 | 0045 0045 | Struck or Injured By - Object Handled by Others | Back Lower/ Lumbar / Sacral | CA | 10559.76 | 5456.3 | 16016.06 | 20922.36 | 4077.64 | 25000 | 31,482.12 | 9,533.94 | 0.00 | 41,016.06 | 6557.41 | 1949.02 | 8506.43 | 38039.53 | 11482.96 | 49522.49 | Bravo, Jose Armando | 11/01/23 | Southern Insurance Co | Struck or Injured by | Trunk | ||||||||||||||||||||||||
41 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 40 | Closed | 05/23/23 | Employee was tightening a screw with a wrench when his hand went loose and hit his elbow with a metal piece of the machinery he | Medical | Kingsburg, CA 93631 | 0040 0040 | Strike Against/Step On - Object Handled or | Elbow | CA | 0 | 0 | 0 | 0 | 3073.1 | 3073.1 | 0.00 | 3,073.10 | 0.00 | 3,073.10 | 0 | 143.91 | 143.91 | 0 | 3217.01 | 3217.01 | Carrasco Bejarano, Jose Antonio | 11/01/23 | Southern Insurance Co | Striking Against or Stepping on | Upper Extremities | ||||||||||||||||||||||||
42 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 41 | Closed | 06/14/23 | I was cutting a piece of tape with a knife , it slipped and it cut my left small finger | Medical | Kingsburg,CA 93631 | 2107 2107 | Cut, Puncture, Scrape - Object Being | Finger(s) | CA | 0 | 0 | 0 | 0 | 800.58 | 800.58 | 0.00 | 800.58 | 0.00 | 800.58 | 0 | 382.81 | 382.81 | 0 | 1183.39 | 1183.39 | Salinas, Miguel | 11/01/23 | Southern Insurance Co | Cut, Puncture, Scrape Injured by | Upper Extremities | ||||||||||||||||||||||||
43 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 42 | Closed | 06/14/23 | EE lacerated right ear with metal sheet. | Medical | Kingsburg, CA 93631 | 0040 0040 | Cut, Puncture, Scrape - Object Being | Ear(s) | CA | 0 | 0 | 0 | 0 | 430.85 | 430.85 | 0.00 | 430.85 | 0.00 | 430.85 | 0 | 339.67 | 339.67 | 0 | 770.52 | 770.52 | Carrasco Bejarano, Jose Antonio | 11/01/23 | Southern Insurance Co | Cut, Puncture, Scrape Injured by | Head | ||||||||||||||||||||||||
44 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 43 | Closed | 06/13/23 | EE was operating a tractor with a grass grinder attachement and was looking back to make sure the job was getting done correctly | Indemnity | Kingsburg,CA 93631 | 0016 0016 | Strain or Injury By - Twisting | Back Lower/ Lumbar / Sacral | CA | 0 | 270.64 | 270.64 | 0 | 374.41 | 374.41 | 0.00 | 645.05 | 0.00 | 645.05 | 0 | 28.41 | 28.41 | 0 | 673.46 | 673.46 | Ayala Fuentes, Francisco | 11/01/23 | Southern Insurance Co | Strain or Injury by | Trunk | ||||||||||||||||||||||||
45 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 44 | Closed | 06/10/23 | EE was driving a tractor and felt something go into her right eye she got off the tractor | Medical | Kingsburga, CA 93631 | 0045 0045 | Struck or Injured By - Falling or Flying Object | Eye(s) | CA | 0 | 0 | 0 | 0 | 769.56 | 769.56 | 0.00 | 769.56 | 0.00 | 769.56 | 0 | 23.48 | 23.48 | 0 | 793.04 | 793.04 | Zepeda, Iris | 11/01/23 | Southern Insurance Co | Struck or Injured by | Head | ||||||||||||||||||||||||
46 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 45 | Closed | 06/07/23 | EE was filling a pesticide tank with a hose through the top. the hose had a lot of pressure when he opened the water hose lever he | Medical | Kingsburg, CA 93631 | 0045 0045 | Misc. Causes - Foreign Matter (Body) in Eye(s) | Eye(s) | CA | 0 | 0 | 0 | 0 | 330.1 | 330.1 | 0.00 | 330.10 | 0.00 | 330.10 | 0 | 311.07 | 311.07 | 0 | 641.17 | 641.17 | Avila Martinez, Luis | 11/01/23 | Southern Insurance Co | Misc | Head | ||||||||||||||||||||||||
47 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 46 | Closed | 06/28/23 | EE was at work using a torch when the flame exposed his bilateral eyes | Indemnity | Kingsburg, CA 93631 | 0016 0016 | Struck or Injured By - Motor Vehicle | Eye(s) | CA | 0 | 3566.68 | 3566.68 | 0 | 2490.26 | 2490.26 | 0.00 | 6,056.94 | 0.00 | 6,056.94 | 0 | 523.12 | 523.12 | 0 | 6580.06 | 6580.06 | Ramos, Robert | 11/01/23 | Southern Insurance Co | Struck or Injured by | Head | ||||||||||||||||||||||||
48 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 47 | Closed | 06/23/23 | EE was on the fourth step of a ladder when he pulled a branch loosing his balance falling off the ladder steps and landing on his left | Indemnity | Kingsburg, CA 93631 | 0079 0079 | Fall or Slip - From Ladder or Scaffolding | Wrist | CA | 0 | 1833.54 | 1833.54 | 0 | 576.73 | 576.73 | 0.00 | 2,410.27 | 0.00 | 2,410.27 | 0 | 29.79 | 29.79 | 0 | 2440.06 | 2440.06 | Nava Villa, Humberto | 11/01/23 | Southern Insurance Co | Fall, Slip or Trip Injury | Upper Extremities | ||||||||||||||||||||||||
49 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 48 | Closed | 06/21/23 | EE was weed wacking around work property when he suddenly felt a sting to his left ear and right arm | Indemnity | Kingsburg, CA 93631 | 0040 0040 | Struck or Injured By - Animal or Insect | Ear(s) | CA | 0 | 74.86 | 74.86 | 0 | 197.54 | 197.54 | 0.00 | 272.40 | 0.00 | 272.40 | 0 | 13.37 | 13.37 | 0 | 285.77 | 285.77 | Marquez, Octavio | 11/01/23 | Southern Insurance Co | Struck or Injured by | Head | ||||||||||||||||||||||||
50 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 49 | Closed | 06/16/23 | EE got chemical splashed onto right eye. | Medical | Kingsburg, CA 93631 | 0172 0172 | Struck or Injured By - Object Lifted or Handled | Eye(s) | CA | 0 | 0 | 0 | 0 | 525.95 | 525.95 | 0.00 | 525.95 | 0.00 | 525.95 | 0 | 333.35 | 333.35 | 0 | 859.3 | 859.3 | Cervantes, Gabriel | 11/01/23 | Southern Insurance Co | Struck or Injured by | Head | ||||||||||||||||||||||||
51 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 50 | Closed | 06/14/23 | A Tractor was stuck co-workers were trying to pull it out with another tractor and chain , EE stepped back 20-25 feet when they started | Indemnity | Kingsburg, CA 93631 | 0045 0045 | Struck or Injured By - Falling or Flying Object | Arm Lower | CA | 0 | 992 | 992 | 0 | 2561.81 | 2561.81 | 0.00 | 3,553.81 | 0.00 | 3,553.81 | 0 | 285.13 | 285.13 | 0 | 3838.94 | 3838.94 | Ramos, Jose | 11/01/23 | Southern Insurance Co | Struck or Injured by | Upper Extremities | ||||||||||||||||||||||||
52 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 51 | Closed | 07/17/23 | EE was driving on road Palm Ave south to north when he noticed a vehicle in the opposite direction head on driving at a high speed | Medical | Kingsburg, CA 93631 | 0045 0045 | Struck or Injured By - Motor Vehicle | Neck Soft Tissue | CA | 0 | 0 | 0 | 0 | 117.26 | 117.26 | 0.00 | 117.26 | 0.00 | 117.26 | 0 | 295 | 295 | 0 | 412.26 | 412.26 | Sanchez Acosta, Pedro | 11/01/23 | Southern Insurance Co | Struck or Injured by | Neck | ||||||||||||||||||||||||
53 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 52 | Closed | 07/17/23 | EE states right flank pain with deep breaths worsened 2 days ago, ee was exposed to plant chemical spray but does not know name | Medical | King city,CA 93930 | 0016 0016 | Misc. Causes - Absorption/Ingestion/Inhalation | Lungs | CA | 0 | 0 | 0 | 0 | 343.35 | 343.35 | 0.00 | 343.35 | 0.00 | 343.35 | 0 | 25.21 | 25.21 | 0 | 368.56 | 368.56 | Hernandez, Fernando Ortiz | 11/01/23 | Southern Insurance Co | Misc | Trunk | ||||||||||||||||||||||||
54 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 53 | Open | 07/13/23 | EE was walking through the field row when he tripped over a mole twisting his left ankle | Indemnity | Kingsburg,CA 93631 | 0040 0040 | Strain or Injury By - Twisting | Ankle | CA | 2131.91 | 7818.92 | 9950.83 | 17611.5 | 2388.5 | 20000 | 19,743.41 | 10,207.42 | 0.00 | 29,950.83 | 11850.65 | 149.35 | 12000 | 31594.06 | 10356.77 | 41950.83 | Escamilla, Jose | 11/01/23 | Southern Insurance Co | Strain or Injury by | Lower Extremities | ||||||||||||||||||||||||
55 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 54 | Closed | 07/09/23 | unknown | Medical | Kingsburg, CA 93631 | 0016 0016 | Motor Vehicle - Collision with Another Vehicle | No Physical Injury | CA | 0 | 0 | 0 | 0 | 0 | 0 | 0.00 | 0.00 | 0.00 | 0.00 | 0 | 295 | 295 | 0 | 295 | 295 | Huerta, Isias | 11/01/23 | Southern Insurance Co | Motor Vehicle | Misc | ||||||||||||||||||||||||
56 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 55 | Open | 07/07/23 | EE began to water his work area when the hose got stuck and he pulled it to unclog it causing him to fall hitting his right knee on the | Indemnity | Kingsburg, CA 93631 | 0005 0005 | Strain or Injury By - Pushing or Pulling | Knee | CA | 3605.07 | 0 | 3605.07 | 18534.44 | 1465.56 | 20000 | 22,139.51 | 1,465.56 | 0.00 | 23,605.07 | 3370.05 | 129.95 | 3500 | 25509.56 | 1595.51 | 27105.07 | Madrigal Nava, Jesus | 11/01/23 | Southern Insurance Co | Strain or Injury by | Lower Extremities | ||||||||||||||||||||||||
57 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 56 | Closed | 07/31/23 | EE injured left index finger. | Medical | Kingsburg, CA 93631 | 0005 0005 | Strain or Injury By - Pushing or Pulling | Finger(s) | CA | 0 | 0 | 0 | 0 | 1866.98 | 1866.98 | 0.00 | 1,866.98 | 0.00 | 1,866.98 | 0 | 628.17 | 628.17 | 0 | 2495.15 | 2495.15 | Gonzalez, Marcelo | 11/01/23 | Southern Insurance Co | Strain or Injury by | Upper Extremities | ||||||||||||||||||||||||
58 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 57 | Open | 07/26/23 | Employee states she was stepping down the tractor holding the tractor door when her left shoulder as she was walking down the | Indemnity | Kingsburg, CA 93631 | 0045 0045 | Struck or Injured By - Motor Vehicle | Wrist | CA | 1265.07 | 0 | 1265.07 | 9682.14 | 317.86 | 10000 | 10,947.21 | 317.86 | 0.00 | 11,265.07 | 2456.96 | 43.04 | 2500 | 13404.17 | 360.9 | 13765.07 | Hernandez, Maria | 11/01/23 | Southern Insurance Co | Struck or Injured by | Upper Extremities | ||||||||||||||||||||||||
59 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 58 | Closed | 07/22/23 | EE was performing an oil change on a tractor when he felt a strain to his neck after putting to much force on his shoulders | Indemnity | Kingsburg,CA 93631 | 0005 0005 | Strain or Injury By - Pushing or Pulling | Neck Soft Tissue | CA | 0 | 1712.8 | 1712.8 | 0 | 2517.34 | 2517.34 | 0.00 | 4,230.14 | 0.00 | 4,230.14 | 0 | 89.06 | 89.06 | 0 | 4319.2 | 4319.2 | Garcia Jimenez, Jose Alonso | 11/01/23 | Southern Insurance Co | Strain or Injury by | Neck | ||||||||||||||||||||||||
60 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 59 | Closed | 07/18/23 | EE was taking a picture of the water meter and had to climb on top of the water pump As he was climbing down the water pump he | Indemnity | Kingsburg, CA 93631 | 0045 0045 | Strain or Injury By - Twisting | Ankle | CA | 0 | 2128.89 | 2128.89 | 0 | 885.1 | 885.1 | 0.00 | 3,013.99 | 0.00 | 3,013.99 | 0 | 19.48 | 19.48 | 0 | 3033.47 | 3033.47 | Mauro, Rogelio | 11/01/23 | Southern Insurance Co | Strain or Injury by | Lower Extremities | ||||||||||||||||||||||||
61 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 60 | Closed | 07/18/23 | EE was cleaning out the water filter for the sprayer machine , As he was cleaning out the filter left over residue fell into this left and | Indemnity | Kingsburg, CA 93631 | 0045 0045 | Struck or Injured By - Object Lifted or Handled | Hand | CA | 0 | 194.19 | 194.19 | 0 | 319.2 | 319.2 | 0.00 | 513.39 | 0.00 | 513.39 | 0 | 11.27 | 11.27 | 0 | 524.66 | 524.66 | Sanchez, Jose Luis | 11/01/23 | Southern Insurance Co | Struck or Injured by | Upper Extremities | ||||||||||||||||||||||||
62 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 61 | Open | 08/23/23 | EE was working night shift and as he was turning on the light at her work station outside when she felt a mosquito go into her left eye | Indemnity | Kingsurg, CA 93631 | 0040 0040 | Struck or Injured By - Animal or Insect | Eye(s) | CA | 412.53 | 0 | 412.53 | 3264.02 | 235.98 | 3500 | 3,676.55 | 235.98 | 0.00 | 3,912.53 | 1491.3 | 8.7 | 1500 | 5167.85 | 244.68 | 5412.53 | Ruiz Quinteros, Maria Juana | 11/01/23 | Southern Insurance Co | Struck or Injured by | Head | ||||||||||||||||||||||||
63 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 62 | Closed | 08/18/23 | EE was sharpening the tip of a shovel when his hand slipped causing him to lacerate his right wrist | Medical | Kingsburg, CA 93631 | 0016 0016 | Struck or Injured By - Object Lifted or Handled | Hand | CA | 0 | 0 | 0 | 0 | 565.5 | 565.5 | 0.00 | 565.50 | 0.00 | 565.50 | 0 | 298.75 | 298.75 | 0 | 864.25 | 864.25 | Sanchez Guzman, Feliciano | 11/01/23 | Southern Insurance Co | Struck or Injured by | Upper Extremities | ||||||||||||||||||||||||
64 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 63 | Closed | 08/10/23 | EE was trimming vines from the grape vineyards and as he knelled down he felt a trash go into his left eye | Medical | Kingsburg, CA 93631 | 0040 0040 | Struck or Injured By - Object Lifted or Handled | Eye(s) | CA | 0 | 0 | 0 | 0 | 127.46 | 127.46 | 0.00 | 127.46 | 0.00 | 127.46 | 0 | 8.53 | 8.53 | 0 | 135.99 | 135.99 | Vidal Valentin, Adan | 11/01/23 | Southern Insurance Co | Struck or Injured by | Head | ||||||||||||||||||||||||
65 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 64 | Open | 08/08/23 | CT Claim 1/22/23-8/8/23ADJ18315783Body Part 1 420 BACK - INCLUDING BACK MUSCLES, SPINE AND SPINAL CORD Body Part | Indemnity | Kingsburg, CA 93631 | 0005 0005 | Misc. Causes - Cumulative (NOC) | CA | 10/16/23 | 11980 | 0 | 11980 | 10000 | 0 | 10000 | 21,980.00 | 0.00 | 0.00 | 21,980.00 | 3500 | 0 | 3500 | 25480 | 0 | 25480 | SOLORIO TORRES, MAYRA | 11/01/23 | Southern Insurance Co | 69 | MIsc | Trunk | |||||||||||||||||||||||
66 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 65 | Closed | 08/04/23 | EE jumped off ladder and felt a sharp pain to left hip and lower back. | Medical | Kingsburg, CA 93631 | 0016 0016 | Fall or Slip - From Ladder or Scaffolding | Back Lower/ Lumbar / Sacral | CA | 0 | 0 | 0 | 0 | 438.49 | 438.49 | 0.00 | 438.49 | 0.00 | 438.49 | 0 | 21.71 | 21.71 | 0 | 460.2 | 460.2 | Madrigal Gaytan, Luis | 11/01/23 | Southern Insurance Co | Fall, Slip or Trip Injury | Trunk | ||||||||||||||||||||||||
67 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 66 | Open | 09/08/23 | EE was pushing a grass mower machine and once he finished he stepped on the rail to jump to the other side when he slipped causing | Indemnity | Kingsburg,CA 93631 | 0016 0016 | Struck or Injured By - Object Lifted or Handled | Foot | CA | 3856.07 | 2956.09 | 6812.16 | 10031.83 | 27468.17 | 37500 | 13,887.90 | 30,424.26 | 0.00 | 44,312.16 | 4474.18 | 25.82 | 4500 | 18362.08 | 30450.08 | 48812.16 | Rosales Valencia, Salvador Leonar | 11/01/23 | Southern Insurance Co | Struck or Injured by | Lower Extremities | ||||||||||||||||||||||||
68 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 67 | Closed | 08/29/23 | EE was hit in left eye by metal bar. | Medical | Kingsburg, CA 93631 | 0040 0040 | Struck or Injured By - Object Lifted or Handled | Eye(s) | CA | 0 | 0 | 0 | 0 | 574.72 | 574.72 | 0.00 | 574.72 | 0.00 | 574.72 | 0 | 331.55 | 331.55 | 0 | 906.27 | 906.27 | Gonzalez Leon, Jilberto | 11/01/23 | Southern Insurance Co | Struck or Injured by | Head | ||||||||||||||||||||||||
69 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 68 | Closed | 08/28/23 | EE fell and hurt left knee and right leg. | Medical | Kingsburg, CA 93631 | 0040 0040 | Strain or Injury By - Twisting | Knee | CA | 0 | 0 | 0 | 0 | 0 | 0 | 0.00 | 0.00 | 0.00 | 0.00 | 0 | 295 | 295 | 0 | 295 | 295 | Rivera, Onorato | 11/01/23 | Southern Insurance Co | Strain or Injury by | Lower Extremities | ||||||||||||||||||||||||
70 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 69 | Closed | 08/24/23 | Employee stated that after washing out various containers that contained pesticide chemicals his overall suit was wet with pesticide | Medical | Chowchilla, CA | 0045 0045 | Misc. Causes - Other (NOC) | Multiple Trunk | CA | 0 | 0 | 0 | 0 | 0 | 0 | 0.00 | 0.00 | 0.00 | 0.00 | 0 | 0 | 0 | 0 | 0 | 0 | Alaniz Gamboa, Kevin Isaac | 11/01/23 | Southern Insurance Co | Misc | Trunk | ||||||||||||||||||||||||
71 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 70 | Closed | 08/23/23 | Employee states he was taking his break around 9:00am and suddenly started to feel his eyes (left and right) get itchy, at 11:00am | Medical | CA | 0045 0045 | Misc. Causes - Foreign Matter (Body) in Eye(s) | Eye(s) | CA | 0 | 0 | 0 | 0 | 95 | 95 | 0.00 | 95.00 | 0.00 | 95.00 | 0 | 0 | 0 | 0 | 95 | 95 | Juarez, Jacinto Luis | 11/01/23 | Southern Insurance Co | Misc | Head | ||||||||||||||||||||||||
72 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 71 | Open | 09/15/23 | Employee states he was shoveling normally when he suddenly began to feel a small pain in the middle of his back. | Indemnity | CA | 0045 0045 | Strain or Injury By - Using Tool or Machinery | Back Lower/ Lumbar / Sacral | CA | 2307.74 | 923.14 | 3230.88 | 9540.21 | 459.79 | 10000 | 11,847.95 | 1,382.93 | 0.00 | 13,230.88 | 3192.82 | 307.18 | 3500 | 15040.77 | 1690.11 | 16730.88 | Avendano Zarate, Esau | 11/01/23 | Southern Insurance Co | Strain or Injury by | Trunk | ||||||||||||||||||||||||
73 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 72 | Open | 09/13/23 | EE was walking when he tripped over a water hose with his right leg ee tried placing his left leg forward but his left leg have out and | Indemnity | Kingsburg, CA 93631 | 0016 0016 | Caught In or Between - Object Handled | Back Lower/ Lumbar / Sacral | CA | 2635.7 | 2777.66 | 5413.36 | 14046.15 | 953.85 | 15000 | 16,681.85 | 3,731.51 | 0.00 | 20,413.36 | 2470.83 | 29.17 | 2500 | 19152.68 | 3760.68 | 22913.36 | Reyes, Ulises | 11/01/23 | Southern Insurance Co | Caught In, Under or Between | Trunk | ||||||||||||||||||||||||
74 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 73 | Open | 09/13/23 | EE felt a sting to her right side. | Medical | Kingsburg, CA 93631 | 8810 8810 | Struck or Injured By - Animal or Insect | Abdomen | CA | 0 | 0 | 0 | 3689.74 | 110.2 | 3799.94 | 3,689.74 | 110.20 | 0.00 | 3,799.94 | 1195.82 | 4.18 | 1200 | 4885.56 | 114.44 | 5000 | Lugo, Stephanie | 11/01/23 | Southern Insurance Co | Struck or Injured by | Trunk | ||||||||||||||||||||||||
75 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 74 | Open | 09/11/23 | EE felt pain in lower abdomen. | Indemnity | Kingsburg, CA 93631 | 0045 0045 | Strain or Injury By - Miscellaneous (NOC) | Abdomen | CA | 469.21 | 0 | 469.21 | 4675.58 | 324.42 | 5000 | 5,144.79 | 324.42 | 0.00 | 5,469.21 | 1195.24 | 304.76 | 1500 | 6340.03 | 629.18 | 6969.21 | Lopez Diaz, Luz Alondra | 11/01/23 | Southern Insurance Co | Strain or Injury by | Trunk | ||||||||||||||||||||||||
76 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 75 | Open | 09/08/23 | EE was greasing up a bearing belt and as the employee pulled on the belt to turn the bearing his right hand middle finger got caught | Indemnity | Kingsburg, CA 93631 | 0016 0016 | Caught In or Between - Machine or Machinery | Finger(s) | CA | 9878.87 | 1560.7 | 11439.57 | 28106.35 | 1893.65 | 30000 | 37,985.22 | 3,454.35 | 0.00 | 41,439.57 | 4433.08 | 66.92 | 4500 | 42418.3 | 3521.27 | 45939.57 | Jimenez, Ernesto | 11/01/23 | Southern Insurance Co | Caught In, Under or Between | Upper Extremities | ||||||||||||||||||||||||
77 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 76 | Open | 10/06/23 | unknown how it occured Lumbar Contusion, and right hip | Indemnity | Kingsburg, CA 93631 | 0016 0016 | Strain or Injury By - Pushing or Pulling | Back Lower/ Lumbar / Sacral | CA | 3084.12 | 590.6 | 3674.72 | 15000 | 0 | 15000 | 18,084.12 | 590.60 | 0.00 | 18,674.72 | 2500 | 0 | 2500 | 20584.12 | 590.6 | 21174.72 | Soto Sandoval, Luis | 11/01/23 | Southern Insurance Co | Strain or Injury by | Trunk | ||||||||||||||||||||||||
78 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 77 | Open | 10/06/23 | EE was leaving the pit and headed out to the weighing area when he breathed in a smell like sulfur | Indemnity | Kingsburg, CA 93631 | 0040 0040 | Misc. Causes - Absorption/Ingestion/Inhalation | No Physical Injury | CA | 866.31 | 0 | 866.31 | 3500 | 0 | 3500 | 4,366.31 | 0.00 | 0.00 | 4,366.31 | 1500 | 0 | 1500 | 5866.31 | 0 | 5866.31 | Avendano Vasquez, Juan Daniel | 11/01/23 | Southern Insurance Co | Misc | Misc | ||||||||||||||||||||||||
79 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 78 | Open | 09/27/23 | Contusion of left elbow, abrasion of left elbow , Cellulitis of elbow , cellulitis of left elbow | Indemnity | Kingsburg,CA 93631 | 0040 0040 | Fall or Slip - On Same Level | Elbow | CA | 642 | 0 | 642 | 7354.47 | 145.53 | 7500 | 7,996.47 | 145.53 | 0.00 | 8,142.00 | 2494.23 | 5.77 | 2500 | 10490.7 | 151.3 | 10642 | Juarez, Yesenia | 11/01/23 | Southern Insurance Co | Fall, Slip or Trip Injury | Upper Extremities | ||||||||||||||||||||||||
80 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 79 | Open | 09/25/23 | EE got an anxiety attack. | Medical | Kingsburg, CA 93631 | 0045 0045 | Misc. Causes - Other Than Physical Cause or | Chest (Incl. Ribs, Strenum, & So | CA | 0 | 0 | 0 | 847.96 | 152.04 | 1000 | 847.96 | 152.04 | 0.00 | 1,000.00 | 193.96 | 306.04 | 500 | 1041.92 | 458.08 | 1500 | Hernandez, Maria | 11/01/23 | Southern Insurance Co | Misc | Trunk | ||||||||||||||||||||||||
81 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 80 | Open | 09/20/23 | EE felt pain in right shoulder. | Medical | Kingsburg, CA 93631 | 0045 0045 | Strain or Injury By - Pushing or Pulling | Shoulder(s) | CA | 0 | 0 | 0 | 3415.87 | 384.13 | 3800 | 3,415.87 | 384.13 | 0.00 | 3,800.00 | 1181.55 | 18.45 | 1200 | 4597.42 | 402.58 | 5000 | Fuerte, Guillermo | 11/01/23 | Southern Insurance Co | Strain or Injury by | Upper Extremities | ||||||||||||||||||||||||
82 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 81 | Open | 10/24/23 | EE states his right thumb was smashed between two metal pieces on his truck | Indemnity | Kingsburg, CA 93631 | 0172 0172 | Caught In or Between - Object Handled | Thumb | CA | 11934.01 | 918.04 | 12852.05 | 25000 | 0 | 25000 | 36,934.01 | 918.04 | 0.00 | 37,852.05 | 4500 | 0 | 4500 | 41434.01 | 918.04 | 42352.05 | Mejia, Cosme | 11/01/23 | Southern Insurance Co | Caught In, Under or Between | Upper Extremities | ||||||||||||||||||||||||
83 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 82 | Open | 10/06/23 | EE was leaving the pit and headed out to the weighing area when he breathed in a smell like sulfur | Indemnity | Kingsburg, CA 93631 | 0040 0040 | CA | 10/18/23 | 602.95 | 0 | 602.95 | 3500 | 0 | 3500 | 4,102.95 | 0.00 | 0.00 | 4,102.95 | 1500 | 0 | 1500 | 5602.95 | 0 | 5602.95 | Avendano, Albino | 11/01/23 | Southern Insurance Co | 12 | ||||||||||||||||||||||||||
84 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/23 | 01/01/24 | Acme | 83 | Open | 10/06/23 | EE was leaving the pit and headed out to the weighing area when he breathed in a smell like sulfur | Indemnity | Kingsburg, CA 93631 | 0040 0040 | CA | 10/18/23 | 573.37 | 0 | 573.37 | 3500 | 0 | 3500 | 4,073.37 | 0.00 | 0.00 | 4,073.37 | 1500 | 0 | 1500 | 5573.37 | 0 | 5573.37 | Vasquez Rios, Florencio | 11/01/23 | Southern Insurance Co | 12 | ||||||||||||||||||||||||||
85 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/22 | 01/01/23 | Acme | 84 | Closed | 01/03/22 | EE poked right eye with a branch. | Medical | Kingsburg, CA 93631 | 0040 0040 | Strike Against/Step On - Object Handled or | Eye(s) | CA | 0 | 0 | 0 | 0 | 392.55 | 392.55 | 0.00 | 392.55 | 0.00 | 392.55 | 0 | 314.87 | 314.87 | 0 | 707.42 | 707.42 | Rodriguez, Omar | 11/01/23 | Southern Insurance Co | Striking Against or Stepping on | Head | ||||||||||||||||||||||||
86 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/22 | 01/01/23 | Acme | 85 | Closed | 01/11/22 | EE poked left eye with branch. | Medical | Kingsburg, CA 93631 | 0016 0016 | Strain or Injury By - Pushing or Pulling | Eye(s) | CA | 0 | 0 | 0 | 0 | 536.83 | 536.83 | 0.00 | 536.83 | 0.00 | 536.83 | 0 | 345.69 | 345.69 | 0 | 882.52 | 882.52 | Lopez Jimenez, Marcos | 11/01/23 | Southern Insurance Co | Strain or Injury by | Head | ||||||||||||||||||||||||
87 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/22 | 01/01/23 | Acme | 86 | Closed | 01/11/22 | EE was poked in right eye by branch. | Medical | Kingsburg, CA 93631 | 0016 0016 | Strike Against/Step On - Object Handled or | Eye(s) | CA | 0 | 0 | 0 | 0 | 635.6 | 635.6 | 0.00 | 635.60 | 0.00 | 635.60 | 0 | 318.44 | 318.44 | 0 | 954.04 | 954.04 | Rivera, Andres | 11/01/23 | Southern Insurance Co | Striking Against or Stepping on | Head | ||||||||||||||||||||||||
88 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/22 | 01/01/23 | Acme | 87 | Closed | 01/27/22 | EE was hit with the chisel on the right side of the face. | Indemnity | Kingsburg, CA 93631 | 0040 0040 | Struck or Injured By - Falling or Flying Object | Multiple Body Parts | CA | 0 | 73.39 | 73.39 | 0 | 715.63 | 715.63 | 0.00 | 789.02 | 0.00 | 789.02 | 0 | 322.89 | 322.89 | 0 | 1111.91 | 1111.91 | Ramos, Robert | 11/01/23 | Southern Insurance Co | Struck or Injured by | Multiple Body Parts | ||||||||||||||||||||||||
89 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/22 | 01/01/23 | Acme | 88 | Closed | 02/02/22 | EE threw stakes and felt pain on his back. | Indemnity | Kingsburg, CA 93631 | 0040 0040 | Strain or Injury By - Lifting | Back Upper/ Thoracic Spine | CA | 0 | 29607.31 | 29607.31 | 0 | 24040.98 | 24040.98 | 0.00 | 53,648.29 | 0.00 | 53,648.29 | 0 | 10710.87 | 10710.87 | 0 | 64359.16 | 64359.16 | Macias Dominguez, Jesus | 11/01/23 | Southern Insurance Co | Strain or Injury by | Trunk | ||||||||||||||||||||||||
90 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/22 | 01/01/23 | Acme | 89 | Closed | 03/02/22 | EE got stung by bee in right eye area. | Medical | Kingsburg, CA 93631 | 0005 0005 | Struck or Injured By - Animal or Insect | Eye(s) | CA | 0 | 0 | 0 | 0 | 312.14 | 312.14 | 0.00 | 312.14 | 0.00 | 312.14 | 0 | 309.26 | 309.26 | 0 | 621.4 | 621.4 | Gonzalez, Felix Alberto | 11/01/23 | Southern Insurance Co | Struck or Injured by | Head | ||||||||||||||||||||||||
91 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/22 | 01/01/23 | Acme | 90 | Closed | 02/24/22 | Employee was getting off the tractor as he was walking down he rolled his right ankle | Indemnity | Kingsburg, CA 93631 | 0040 0040 | Strain or Injury By - Twisting | Ankle | CA | 0 | 357.1 | 357.1 | 0 | 790.27 | 790.27 | 0.00 | 1,147.37 | 0.00 | 1,147.37 | 0 | 373.94 | 373.94 | 0 | 1521.31 | 1521.31 | Hernandez, Marcos | 11/01/23 | Southern Insurance Co | Strain or Injury by | Lower Extremities | ||||||||||||||||||||||||
92 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/22 | 01/01/23 | Acme | 91 | Closed | 02/17/22 | EE tripped and fell hitting her chest and hand. | Indemnity | Kingsburg, CA 93631 | 0005 0005 | Fall or Slip - On Same Level | Multiple Body Parts | CA | 0 | 609.42 | 609.42 | 0 | 1609.43 | 1609.43 | 0.00 | 2,218.85 | 0.00 | 2,218.85 | 0 | 586.7 | 586.7 | 0 | 2805.55 | 2805.55 | Camacho, Evangelina | 11/01/23 | Southern Insurance Co | Fall, Slip or Trip Injury | Multiple Body Parts | ||||||||||||||||||||||||
93 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/22 | 01/01/23 | Acme | 92 | Closed | 02/16/22 | EE was walking when she tripped over a branch that was standing and fell down as she fell down she placed her right arm to try to | Indemnity | Kingsburg, CA 93631 | 0016 0016 | Fall or Slip - From Different Level | Multiple Body Parts | CA | 0 | 644.66 | 644.66 | 0 | 645.03 | 645.03 | 0.00 | 1,289.69 | 0.00 | 1,289.69 | 0 | 318.95 | 318.95 | 0 | 1608.64 | 1608.64 | Torres Vivar, Claudia | 11/01/23 | Southern Insurance Co | Fall, Slip or Trip Injury | Upper Extremities | ||||||||||||||||||||||||
94 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/22 | 01/01/23 | Acme | 93 | Closed | 02/03/22 | EE was tying trees when he pripped over a hose and fell hurting his back | Indemnity | Kingsburg, CA 93631 | 0016 0016 | Fall or Slip - On Same Level | Back Lower/ Lumbar / Sacral | CA | 0 | 2489.95 | 2489.95 | 0 | 13265.67 | 13265.67 | 0.00 | 15,755.62 | 0.00 | 15,755.62 | 0 | 6195.46 | 15 | 6180.46 | 0 | 21951.08 | 15 | 21936.08 | Esteves Martinon, Ignacio Roberto | 11/01/23 | Southern Insurance Co | Fall, Slip or Trip Injury | Trunk | ||||||||||||||||||||||
95 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/22 | 01/01/23 | Acme | 94 | Closed | 03/16/22 | EE's left great toe was smashed by trailer. | Indemnity | Kingsburg, CA 93631 | 0040 0040 | Strike Against/Step On - Moving Parts of | Foot | CA | 0 | 1600 | 1600 | 0 | 13996.8 | 13996.8 | 0.00 | 15,596.80 | 0.00 | 15,596.80 | 0 | 2083.73 | 2083.73 | 0 | 17680.53 | 17680.53 | Valdivia, Juan | 11/01/23 | Southern Insurance Co | Striking Against or Stepping on | Lower Extremities | ||||||||||||||||||||||||
96 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/22 | 01/01/23 | Acme | 95 | Closed | 03/15/22 | EE was hit in left eye by grapevine. | Medical | Kingsburg, CA 93631 | 0040 0040 | Struck or Injured By - Falling or Flying Object | Eye(s) | CA | 0 | 0 | 0 | 0 | 189.54 | 189.54 | 0.00 | 189.54 | 0.00 | 189.54 | 0 | 311.02 | 311.02 | 0 | 500.56 | 500.56 | Franco, Jesus | 11/01/23 | Southern Insurance Co | Struck or Injured by | Head | ||||||||||||||||||||||||
97 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/22 | 01/01/23 | Acme | 96 | Closed | 03/15/22 | EE was cutting string for the grape vinewhen her hand slipped causing her to cut he left index finger | Medical | Kingsburg,CA 93631 | 0040 0040 | Cut, Puncture,Scrape - Object Being | Finger(s) | CA | 0 | 0 | 0 | 0 | 1185.79 | 1185.79 | 0.00 | 1,185.79 | 0.00 | 1,185.79 | 0 | 382.64 | 382.64 | 0 | 1568.43 | 1568.43 | Bautista Vasquez, Elia | 11/01/23 | Southern Insurance Co | Cut, Puncture, Scrape Injured by | Upper Extremities | ||||||||||||||||||||||||
98 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/22 | 01/01/23 | Acme | 97 | Closed | 03/14/22 | EE bent over and felt a pull in lower back. | Medical | Kingsburg, CA 93631 | 0040 0040 | Strain or Injury By - Twisting | Back Lower/ Lumbar / Sacral | CA | 0 | 0 | 0 | 0 | 1191.83 | 2.87 | 1188.96 | 0.00 | 1,191.83 | 2.87 | 1,188.96 | 0 | 691.12 | 691.12 | 0 | 1882.95 | 2.87 | 1880.08 | Ortiz Lopez, Gabriel | 11/01/23 | Southern Insurance Co | Strain or Injury by | Trunk | ||||||||||||||||||||||
99 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/22 | 01/01/23 | Acme | 98 | Closed | 03/03/22 | EE got stung by multiple bees. | Indemnity | Kingsburg, CA 93631 | 0016 0016 | Struck or Injured By - Animal or Insect | Facial Bones | CA | 0 | 121.39 | 121.39 | 0 | 449.95 | 449.95 | 0.00 | 571.34 | 0.00 | 571.34 | 0 | 607.66 | 607.66 | 0 | 1179 | 1179 | Gonzalez, Carlos | 11/01/23 | Southern Insurance Co | Struck or Injured by | Head | ||||||||||||||||||||||||
100 | Worker Compensation | XXXXXXXX | XXXXXXXX | XXXXXXXX | 01/01/22 | 01/01/23 | Acme | 99 | Closed | 04/05/22 | Working in vineyards tying wires to the vines for support for about 2 weeks and my thumbs were getting soar with time , I would | Medical | Kingsburg, CA 93631 | 0040 0040 | Strain or Injury By - Twisting | Thumb | CA | 0 | 0 | 0 | 0 | 1013.05 | 1013.05 | 0.00 | 1,013.05 | 0.00 | 1,013.05 | 0 | 324.25 | 324.25 | 0 | 1337.3 | 1337.3 | Solano, Viviana | 11/01/23 | Southern Insurance Co | Strain or Injury by | Upper Extremities |