MOUNTAIN HOUSE, CA —
OSHA Injury Report: SWY-0025-0025-00055 FAC-00055-MOUNTAIN HOUSE-CA
Injury · Job transfer or restriction
At a glance
On , an injury at SWY-0025-0025-00055 FAC-00055-MOUNTAIN HOUSE-CA in MOUNTAIN HOUSE, CA 95391 resulted in job transfer or restriction. Employee was multi Purpose C in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0025-0025-00055 FAC-00055-MOUNTAIN HOUSE-CA
- Parent company
- Safeway Inc
- Street
- 19555 S MOUNTAIN HOUSE PKWY
- City
- MOUNTAIN HOUSE
- State
- CA
- ZIP
- 95391
- On-site location
- COFFEE KIOSK
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 10
Before the incident
STOCKING
What happened
Stocking starbucs espresso bean bags in the lower cabinet when she was done stocked raised up and hit her head on the counter
Injury or illness
Bruised Head Struck against Counter
Object or substance involved
Counter
Summary line
Stocking starbucs espresso bean bags in the lower cabinet when she was done stocked raised up and hit her head on the counter
Employee and industry
- Job description
- Multi Purpose C
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 102
- Total hours worked
- 170826
- EIN
- 943019135
- Establishment ID
- 1141740
- Employer case #
- 102392
When (timing detail)
- Date of incident
- Shift started
- 5:09
- Time of incident
- 13:30
- 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.