POULSBO, WA —
OSHA Injury Report: SWY-0027-0027-03148 FAC-03148-POULSBO-WA
Injury · Other recordable case
At a glance
On , an injury at SWY-0027-0027-03148 FAC-03148-POULSBO-WA in POULSBO, WA 98370 resulted in other recordable case. Employee was deli Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0027-0027-03148 FAC-03148-POULSBO-WA
- Parent company
- Safeway Inc
- Street
- 19245 10TH AVE NE
- City
- POULSBO
- State
- WA
- ZIP
- 98370
- On-site location
- DELI DEPARTMENT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WALKING
What happened
Employee was walking and was pulling her nametag out of her pocket and stumbled over her own feet and landed on her knee
Injury or illness
Sprained Right Knee Trip Own feet
Object or substance involved
Own feet
Summary line
Employee was walking and was pulling her nametag out of her pocket and stumbled over her own feet and landed on her knee
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
- 133
- Total hours worked
- 207646
- EIN
- 943019135
- Establishment ID
- 1141680
- Employer case #
- 112096
When (timing detail)
- Date of incident
- Shift started
- 6:30
- Time of incident
- 11:00
- 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.