AMERICAN CANYON, CA ·
OSHA Injury Report: SWY-0025-0025-01883 FAC-01883-AMERICAN CANYON-CA
Injury · Days away from work
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 days away from work. Employee was courtesy 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
- FRONT END
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 105
Before the incident
FLOOR MAINTENANCE
What happened
Altercation with customer suffered broken rib
Injury or illness
Fracture Left Chest Struck by individual Customer
Object or substance involved
Customer
Summary line
Altercation with customer suffered broken rib
Employee and industry
- Job description
- Courtesy Clerk
- SOC code
- 53-7064: Packers and Packagers, Hand
- 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 #
- 99439
When (timing detail)
- Date of incident
- Shift started
- 14:30
- Time of incident
- 15:19
- 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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