TILLAMOOK, OR —
OSHA Injury Report: SWY-0019-0019-02723 FAC-02723-TILLAMOOK-OR
Injury · Job transfer or restriction
At a glance
On , an injury at SWY-0019-0019-02723 FAC-02723-TILLAMOOK-OR in TILLAMOOK, OR 97141 resulted in job transfer or restriction. Employee was deli Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0019-0019-02723 FAC-02723-TILLAMOOK-OR
- Parent company
- Safeway Inc
- Street
- 1815 4TH STREET
- City
- TILLAMOOK
- State
- OR
- ZIP
- 97141
- On-site location
- DELI DEPARTMENT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 61
Before the incident
COMPLETING BOIL OUT
What happened
Employee was completing a boil out in the deli and tripped on the hose on the floor Bruised his left shoulder
Injury or illness
Strained Left Shoulder s Trip Hose
Object or substance involved
Hose
Summary line
Employee was completing a boil out in the deli and tripped on the hose on the floor Bruised his left shoulder
Employee and industry
- Job description
- Deli Clerk
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 123
- Total hours worked
- 166447
- EIN
- 943019135
- Establishment ID
- 1141355
- Employer case #
- 112508
When (timing detail)
- Date of incident
- Shift started
- 15:30
- Time of incident
- 19:08
- 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.