SURPRISE, AZ —
OSHA Injury Report: SWY-0017-0017-00048 FAC-00048-SURPRISE-AZ
Injury · Other recordable case
At a glance
On , an injury at SWY-0017-0017-00048 FAC-00048-SURPRISE-AZ in SURPRISE, AZ 85355 resulted in other recordable case. Employee was general Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0017-0017-00048 FAC-00048-SURPRISE-AZ
- Parent company
- Safeway Inc
- Street
- 17230 W PEORIA AVENUE
- City
- SURPRISE
- State
- AZ
- ZIP
- 85355
- On-site location
- DELI
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
NORMAL DUTIES
What happened
Employee felt faint and fell hitting his head on the way down.
Injury or illness
Fainted Brain Fall FLOOR
Object or substance involved
FLOOR
Summary line
Employee felt faint and fell hitting his head on the way down.
Employee and industry
- Job description
- General Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 151
- Total hours worked
- 53466
- EIN
- 943019135
- Establishment ID
- 1141157
- Employer case #
- 103803
When (timing detail)
- Date of incident
- Shift started
- 9:00:00.000
- Time of incident
- 9:10:00.000
- Submitted
- 21FEB24:00:36:00
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.