ROSEVILLE, CA ·
OSHA Injury Report: SWY-0025-0025-01617 FAC-01617-ROSEVILLE-CA
Injury · Other recordable case
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 other recordable case. Employee was multi Purpose C 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
- RESTROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
STOCKING
What happened
Employee claims that started work dizzy and feeling weak sometime into his shift used restroom and claims he blacked out hit head head and woke up on the bathroom floor
Injury or illness
Fainted Brain Fall on same level Passed out
Object or substance involved
Passed out
Summary line
Employee claims that started work dizzy and feeling weak sometime into his shift used restroom and claims he blacked out hit head head and woke up on the bathroom floor
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
- Employees at this establishment (2025 average)
- 152
- Hours worked at this establishment (2025 total)
- 229,188
- EIN
- 943019135
- Establishment ID
- 1141896
- Employer case #
- 106424
When (timing detail)
- Date of incident
- Shift started
- 23:00
- Time of incident
- 01:45
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-20
More injuries at SWY-0025-0025-01617 Fac-01617-Roseville-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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