NOVATO, CA —
OSHA Injury Report: SWY-0025-0025-02828 FAC-02828-NOVATO-CA
Injury · Other recordable case
At a glance
On , an injury at SWY-0025-0025-02828 FAC-02828-NOVATO-CA in NOVATO, CA 94949 resulted in other recordable case. Employee was food Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0025-0025-02828 FAC-02828-NOVATO-CA
- Parent company
- Safeway Inc
- Street
- 5720 NAVE DRIVE
- City
- NOVATO
- State
- CA
- ZIP
- 94949
- On-site location
- BREAK ROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
TRIPPING OVER BACKPACK
What happened
trip and fall
Injury or illness
Bruised Bilateral Knee Trip Backpack
Object or substance involved
Backpack
Summary line
trip and fall
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
- Avg employees
- 117
- Total hours worked
- 178689
- EIN
- 943019135
- Establishment ID
- 1141977
- Employer case #
- 109881
When (timing detail)
- Date of incident
- Shift started
- 14:48
- Time of incident
- 14:48
- 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.