ROSEVILLE, CA ·
OSHA Injury Report: SWY-0025-0025-01617 FAC-01617-ROSEVILLE-CA
Injury · Days away from work
At a glance
On , an injury at SWY-0025-0025-01617 FAC-01617-ROSEVILLE-CA in 8640 SIERRA COLLEGE BLVD, ROSEVILLE, CA 95661 resulted in days away from work. Employee was liquor Departme in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0025-0025-01617 FAC-01617-ROSEVILLE-CA
- Parent company
- Safeway Inc
- Street
- 8640 SIERRA COLLEGE BLVD
- City
- ROSEVILLE
- State
- CA
- ZIP
- 95661
- On-site location
- LIQUOR DEPT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
WALKING
What happened
EE was heading towards the liquor department and tripped on some deli shelving causing him to fall and break his left shoulder
Injury or illness
Fracture Left Shoulder s Trip Deli shelv
Object or substance involved
Deli shelv
Summary line
EE was heading towards the liquor department and tripped on some deli shelving causing him to fall and break his left shoulder
Employee and industry
- Job description
- Liquor Departme
- SOC code
- 00-9900: Insufficient Information - NIOSH
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 152
- Hours worked at this establishment (2025 total)
- 229,188
- EIN
- 943019135
- Establishment ID
- 1141896
- Employer case #
- 101820
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 06:27
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-20
More injuries at SWY-0025-0025-01617 Fac-01617-Roseville-Ca
View SWY-0025-0025-01617 Fac-01617-Roseville-Ca's full OSHA safety record →
More injuries in this industry (NAICS 445110)
More injuries in CA
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.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.