SAMMAMISH, WA —
OSHA Injury Report: SWY-0027-0027-00555 FAC-00555-SAMMAMISH-WA
Injury · Days away from work
At a glance
On , an injury at SWY-0027-0027-00555 FAC-00555-SAMMAMISH-WA in SAMMAMISH, WA 98074 resulted in days away from work. Employee was person In Charg in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0027-0027-00555 FAC-00555-SAMMAMISH-WA
- Parent company
- Safeway Inc
- Street
- 630 228TH AVE N E
- City
- SAMMAMISH
- State
- WA
- ZIP
- 98074
- On-site location
- FREEZER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 57
- Days restricted or transferred
- 13
Before the incident
USING PALLET [REDACTED]
What happened
Employee was trying to use a pallet jack to move a pallet of ice in the freezer They slipped and landed flat on their back
Injury or illness
Sprained Left Shoulder s Fall Pallet jack
Object or substance involved
Pallet jack
Summary line
Employee was trying to use a pallet jack to move a pallet of ice in the freezer They slipped and landed flat on their back
Employee and industry
- Job description
- Person In Charg
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 129
- Total hours worked
- 168442
- EIN
- 943019135
- Establishment ID
- 1141435
- Employer case #
- 116531
When (timing detail)
- Date of incident
- Shift started
- 11:36
- Time of incident
- 11:45
- 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.