COTTAGE GROVE, OR —
OSHA Injury Report: SWY-0019-0019-01458 FAC-01458-COTTAGE GROVE-OR
Injury · Other recordable case
At a glance
On , an injury at SWY-0019-0019-01458 FAC-01458-COTTAGE GROVE-OR in COTTAGE GROVE, OR 97424 resulted in other recordable case. Employee was courtesy Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0019-0019-01458 FAC-01458-COTTAGE GROVE-OR
- Parent company
- Safeway Inc
- Street
- 1500 EAST MAIN STREET
- City
- COTTAGE GROVE
- State
- OR
- ZIP
- 97424
- On-site location
- PARKING LOT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
DELIVERING CUSTOMERS ORDER
What happened
was taking out a drive up and go order While picking up a 24pk of water they turned around and smashed face into trunk lid resulting in and chipped tooth
Injury or illness
Fracture Teeth Struck by Vehicle trunk
Object or substance involved
Vehicle trunk
Summary line
was taking out a drive up and go order While picking up a 24pk of water they turned around and smashed face into trunk lid resulting in and chipped tooth
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
- 130
- Total hours worked
- 186388
- EIN
- 943019135
- Establishment ID
- 1141305
- Employer case #
- 113599
When (timing detail)
- Date of incident
- Shift started
- 5:15
- Time of incident
- 15:45
- 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.