DUVALL, WA —
OSHA Injury Report: SWY-0027-0027-01572 FAC-01572-DUVALL-WA
Injury · Job transfer or restriction
At a glance
On , an injury at SWY-0027-0027-01572 FAC-01572-DUVALL-WA in DUVALL, WA 98019 resulted in job transfer or restriction. Employee was deli Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0027-0027-01572 FAC-01572-DUVALL-WA
- Parent company
- Safeway Inc
- Street
- 14020 MAIN STREET NE
- City
- DUVALL
- State
- WA
- ZIP
- 98019
- On-site location
- DELI DEPARTMENT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 15
Before the incident
ASSISTING CUSTOMER
What happened
He Was Behind The Counter Of The Deli Finishing Up With A Customer Where The Area He Was Working Was Just Mopped And As He Turned Around His Feet Slipped Out From Under Him Causing Him To Fall Flat On His Back
Injury or illness
Concussion Brain Fall Wet floor
Object or substance involved
Wet floor
Summary line
He Was Behind The Counter Of The Deli Finishing Up With A Customer Where The Area He Was Working Was Just Mopped And As He Turned Around His Feet Slipped Out From Under Him Causing Him To Fall Flat On His Back
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
- 120
- Total hours worked
- 160214
- EIN
- 943019135
- Establishment ID
- 1141491
- Employer case #
- 113568
When (timing detail)
- Date of incident
- Shift started
- 15:30
- Time of incident
- 17:25
- 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.