LAKESIDE, AZ —
OSHA Injury Report: SWY-0017-0017-02069 FAC-02069-LAKESIDE-AZ
Injury · Days away from work
At a glance
On , an injury at SWY-0017-0017-02069 FAC-02069-LAKESIDE-AZ in LAKESIDE, AZ 85929 resulted in days away from work. Employee was dairy Superviso in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0017-0017-02069 FAC-02069-LAKESIDE-AZ
- Parent company
- Safeway Inc
- Street
- 20 EAST WHITE MOUNTAIN BLVD
- City
- LAKESIDE
- State
- AZ
- ZIP
- 85929
- On-site location
- OUTSIDE DOCK
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 7
Before the incident
CASE PREP SET UP BREAKDOWN
What happened
2 employees were bring in a pallet of load and a box of tea drop and hit one of the employee in the head
Injury or illness
Concussion Anterior Head Struck by object Load
Object or substance involved
Load
Summary line
2 employees were bring in a pallet of load and a box of tea drop and hit one of the employee in the head
Employee and industry
- Job description
- Dairy Superviso
- 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
- 109
- Total hours worked
- 170842
- EIN
- 943019135
- Establishment ID
- 1141240
- Employer case #
- 119298
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 9:00
- 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.