POULSBO, WA —
OSHA Injury Report: SWY-0027-0027-03148 FAC-03148-POULSBO-WA
Injury · Days away from work
At a glance
On , an injury at SWY-0027-0027-03148 FAC-03148-POULSBO-WA in POULSBO, WA 98370 resulted in days away from work. Employee was all Purpose Cle 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
- SCO
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
- Days restricted or transferred
- 2
Before the incident
ASSISTING CUSTOMER
What happened
Employee was assisting customers in SCO when she encountered a hazard and fell hitting her left shoulder back and left back side of head
Injury or illness
Bruised Left Shoulder s Trip Hazard
Object or substance involved
Hazard
Summary line
Employee was assisting customers in SCO when she encountered a hazard and fell hitting her left shoulder back and left back side of head
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
- 133
- Total hours worked
- 207646
- EIN
- 943019135
- Establishment ID
- 1141680
- Employer case #
- 119364
When (timing detail)
- Date of incident
- Shift started
- 13:30
- Time of incident
- 19:09
- 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.