WINDSOR, CO —
OSHA Injury Report: SWY-0005-0005-01791 FAC-01791-WINDSOR-CO
Injury · Job transfer or restriction
At a glance
On , an injury at SWY-0005-0005-01791 FAC-01791-WINDSOR-CO in WINDSOR, CO 80550 resulted in job transfer or restriction. Employee was clerk Service in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0005-0005-01791 FAC-01791-WINDSOR-CO
- Parent company
- Safeway Inc
- Street
- 1535 MAIN STREET
- City
- WINDSOR
- State
- CO
- ZIP
- 80550
- On-site location
- COFFEE KIOSK
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 8
Before the incident
GETTING ICE
What happened
tripped on comfort mat while getting ice
Injury or illness
Bruised Right Chest Fall on same level MAT
Object or substance involved
MAT
Summary line
tripped on comfort mat while getting ice
Employee and industry
- Job description
- Clerk Service
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 112
- Total hours worked
- 158384
- EIN
- 943019135
- Establishment ID
- 1141115
- Employer case #
- 101475
When (timing detail)
- Date of incident
- Shift started
- 5:26:00.000
- Time of incident
- 8:40:00.000
- Submitted
- 21FEB24:00:35:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.