SURPRISE, AZ —
OSHA Injury Report: SWY-0017-0017-02699 FAC-02699-SURPRISE-AZ
Injury · Days away from work
At a glance
On , an injury at SWY-0017-0017-02699 FAC-02699-SURPRISE-AZ in SURPRISE, AZ 85379 resulted in days away from work. Employee was general Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0017-0017-02699 FAC-02699-SURPRISE-AZ
- Parent company
- Safeway Inc
- Street
- 13828 W WADDELL RD
- City
- SURPRISE
- State
- AZ
- ZIP
- 85379
- On-site location
- PRODUCE BACKROOM
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 30
- Days restricted or transferred
- 91
Before the incident
LIFTING POTATOES ONTO CART
What happened
EE was in the produce back room loading potatoes on a cart When he went to go and lift EE heard a pop in his shoulder
Injury or illness
Strained Right Shoulder s Lifting Potatoes
Object or substance involved
Potatoes
Summary line
EE was in the produce back room loading potatoes on a cart When he went to go and lift EE heard a pop in his shoulder
Employee and industry
- Job description
- General Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 117
- Total hours worked
- 156277
- EIN
- 943019135
- Establishment ID
- 1141249
- Employer case #
- 115042
When (timing detail)
- Date of incident
- Shift started
- 14:15
- Time of incident
- 15:35
- 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.