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 all Purpose Cle 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
- SALES FLOOR
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
PRODUCT SELECTION
What happened
EE states she was lifting a box from the top shelf in the Deli freezer and felt a pain in her left shoulder states the box was frozen to the shelf
Injury or illness
Sprained Left Shoulder s Lifting Box
Object or substance involved
Box
Summary line
EE states she was lifting a box from the top shelf in the Deli freezer and felt a pain in her left shoulder states the box was frozen to the shelf
Employee and industry
- Job description
- All Purpose Cle
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- 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 #
- 119487
When (timing detail)
- Date of incident
- Shift started
- 5:00
- Time of incident
- 9:00
- 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.