NOVATO, CA ·
OSHA Injury Report: SWY-0025-0025-00979 FAC-00979-NOVATO-CA
Injury · Other recordable case
At a glance
On , an injury at SWY-0025-0025-00979 FAC-00979-NOVATO-CA in 900 DIABLO AVE, NOVATO, CA 94947 resulted in other recordable case. Employee was food Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0025-0025-00979 FAC-00979-NOVATO-CA
- Parent company
- Safeway Inc
- Street
- 900 DIABLO AVE
- City
- NOVATO
- State
- CA
- ZIP
- 94947
- On-site location
- FREEZER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
STOCKING
What happened
He Was In The Freezer Moving A Pallet On An Ice Covered Floor And He Slipped And Fell On His Buttocks
Injury or illness
Sprained Posterior Upper back Fall Ice
Object or substance involved
Ice
Summary line
He Was In The Freezer Moving A Pallet On An Ice Covered Floor And He Slipped And Fell On His Buttocks
Employee and industry
- Job description
- Food Clerk
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 117
- Hours worked at this establishment (2025 total)
- 188,937
- EIN
- 943019135
- Establishment ID
- 1141827
- Employer case #
- 110615
When (timing detail)
- Date of incident
- Shift started
- 05:00
- Time of incident
- 09:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-20
More injuries at SWY-0025-0025-00979 Fac-00979-Novato-Ca
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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