SAN RAFAEL, CA —
OSHA Injury Report: SWY-0025-0025-00932 FAC-00932-SAN RAFAEL-CA
Injury · Days away from work
At a glance
On , an injury at SWY-0025-0025-00932 FAC-00932-SAN RAFAEL-CA in SAN RAFAEL, CA 94903 resulted in days away from work. Employee was fresh Cut Fruit in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0025-0025-00932 FAC-00932-SAN RAFAEL-CA
- Parent company
- Safeway Inc
- Street
- 950 LAS GALLINAS
- City
- SAN RAFAEL
- State
- CA
- ZIP
- 94903
- On-site location
- MEAT DEPT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
[REDACTED] SORT
What happened
EE was taking the pallet jack to the produce dept to move some supplies to get to the containers for fresh cut She says that as she was walking with the pallet jack she stopped and the pallet jack slowly rolled and hit her left leg
Injury or illness
Dislocated Left Knee Caught in machinery Pallet Jack
Object or substance involved
Pallet Jack
Summary line
EE was taking the pallet jack to the produce dept to move some supplies to get to the containers for fresh cut She says that as she was walking with the pallet jack she stopped and the pallet jack slowly rolled and hit her left leg
Employee and industry
- Job description
- Fresh Cut Fruit
- SOC code
- 53-7064 — Packers and Packagers, Hand
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 108
- Total hours worked
- 171008
- EIN
- 943019135
- Establishment ID
- 1141807
- Employer case #
- 103248
When (timing detail)
- Date of incident
- Shift started
- 5:00
- Time of incident
- 6:30
- 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.