BELMONT, CA —
OSHA Injury Report: SWY-0025-0025-01138 FAC-01138-BELMONT-CA
Injury · Job transfer or restriction
At a glance
On , an injury at SWY-0025-0025-01138 FAC-01138-BELMONT-CA in BELMONT, CA 94002 resulted in job transfer or restriction. Employee was gM HBC Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0025-0025-01138 FAC-01138-BELMONT-CA
- Parent company
- Safeway Inc
- Street
- 1100 EL CAMINO REAL
- City
- BELMONT
- State
- CA
- ZIP
- 94002
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 104
Before the incident
FLOOR MAINTENANCE
What happened
employee trip on her own foot and fell on her left arm
Injury or illness
Sprained Right Lower arm Trip Own foot
Object or substance involved
Own foot
Summary line
employee trip on her own foot and fell on her left arm
Employee and industry
- Job description
- GM HBC Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 107
- Total hours worked
- 182984
- EIN
- 943019135
- Establishment ID
- 1141847
- Employer case #
- 103983
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 6:10
- 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.