MESA, AZ —
OSHA Injury Report: SWY-0017-0017-01717 FAC-01717-MESA-AZ
Injury · Other recordable case
At a glance
On , an injury at SWY-0017-0017-01717 FAC-01717-MESA-AZ in MESA, AZ 85201 resulted in other recordable case. Employee was courtesy Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0017-0017-01717 FAC-01717-MESA-AZ
- Parent company
- Safeway Inc
- Street
- 1902 WEST MAIN STREET
- City
- MESA
- State
- AZ
- ZIP
- 85201
- On-site location
- BACKROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
USING FOOT TO PUSH DOOR
What happened
While Coming Out Of The Backroom He Pushed The Door With His Left Foot When His Foot Got Stuck Causing Him To Fall Backwards He Lost Consciousness For 2 Or 3 Seconds Causing Him To Hit The Back Of His Head Result
Injury or illness
Bruised Posterior Head Fall Door
Object or substance involved
Door
Summary line
While Coming Out Of The Backroom He Pushed The Door With His Left Foot When His Foot Got Stuck Causing Him To Fall Backwards He Lost Consciousness For 2 Or 3 Seconds Causing Him To Hit The Back Of His Head Result
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
- Avg employees
- 97
- Total hours worked
- 144392
- EIN
- 943019135
- Establishment ID
- 1141210
- Employer case #
- 113961
When (timing detail)
- Date of incident
- Shift started
- 12:45
- Time of incident
- 15:10
- Filing year
- 2025
- Submitted
- 20FEB26:23:53:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.