BOTHELL, WA —
OSHA Injury Report: SWY-0027-0027-01864 FAC-01864-BOTHELL-WA
Injury · Other recordable case
At a glance
On , an injury at SWY-0027-0027-01864 FAC-01864-BOTHELL-WA in BOTHELL, WA 98021 resulted in other recordable case. Employee was asst Mgr First in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0027-0027-01864 FAC-01864-BOTHELL-WA
- Parent company
- Safeway Inc
- Street
- 24040 BOTHELL-EVERETT HWY
- City
- BOTHELL
- State
- WA
- ZIP
- 98021
- On-site location
- RECEIVING AREA
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
PRODUCT TRANSFER MATERIAL HANDLING
What happened
while in the recieving area behind the power jack the employees accidentally tripped over the baler cord with her foor she lost her balance spun around and fell to the ground hitting her back and head on the concrete floor
Injury or illness
Bruised Skull Trip Ground
Object or substance involved
Ground
Summary line
while in the recieving area behind the power jack the employees accidentally tripped over the baler cord with her foor she lost her balance spun around and fell to the ground hitting her back and head on the concrete floor
Employee and industry
- Job description
- Asst Mgr First
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 125
- Total hours worked
- 185288
- EIN
- 943019135
- Establishment ID
- 1141565
- Employer case #
- 116529
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 16:00
- 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.