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 deli Manager 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
- SALES FLOOR
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WALKING
What happened
Associate slipped in water by the ice machine
Injury or illness
Bruised Left Upper back Fall Wet floor
Object or substance involved
Wet floor
Summary line
Associate slipped in water by the ice machine
Employee and industry
- Job description
- Deli Manager
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- 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 #
- 117191
When (timing detail)
- Date of incident
- Shift started
- 4:00
- Time of incident
- 11:00
- 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.