AMERICAN CANYON, CA ·
OSHA Injury Report: SWY-0025-0025-01883 FAC-01883-AMERICAN CANYON-CA
Injury · Other recordable case
At a glance
On , an injury at SWY-0025-0025-01883 FAC-01883-AMERICAN CANYON-CA in 103 AMERICAN CANYON RD, AMERICAN CANYON, CA 94503 resulted in other recordable case. Employee was food Clerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- SWY-0025-0025-01883 FAC-01883-AMERICAN CANYON-CA
- Parent company
- Safeway Inc
- Street
- 103 AMERICAN CANYON RD
- City
- AMERICAN CANYON
- State
- CA
- ZIP
- 94503
- On-site location
- SALESFLOOR
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
USING RESTROOM
What happened
Employee went into men s restroom and slipped Fell on right knee and landed on back Yellow cones were inside Floor crew just mopped in there
Injury or illness
Strained Right Knee Fall Restroom floor
Object or substance involved
Restroom floor
Summary line
Employee went into men s restroom and slipped Fell on right knee and landed on back Yellow cones were inside Floor crew just mopped in there
Employee and industry
- Job description
- Food Clerk
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 445110: Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 127
- Hours worked at this establishment (2024 total)
- 191,032
- EIN
- 943019135
- Establishment ID
- 1141922
- Employer case #
- 93867
When (timing detail)
- Date of incident
- Shift started
- 04:00
- Time of incident
- 05:45
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-21
More injuries at SWY-0025-0025-01883 Fac-01883-American Canyon-Ca
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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