MESA, AZ —
OSHA Injury Report: SWY-0017-0017-01637 FAC-01637-MESA-AZ
Injury · Other recordable case
At a glance
On , an injury at SWY-0017-0017-01637 FAC-01637-MESA-AZ in MESA, AZ 85206 resulted in other recordable case. Employee was general Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0017-0017-01637 FAC-01637-MESA-AZ
- Parent company
- Safeway Inc
- Street
- 3622 E SOUTHERN AVENUE
- City
- MESA
- State
- AZ
- ZIP
- 85206
- On-site location
- BAKERY
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
PUTTING BOXED DONUTS UP
What happened
puting boxed donuts up the ladder collapsed (fell forward) causing the employee to pin her right arm between two racks.
Injury or illness
Bruised Right Lower arm Fall from ladder scaffold LADDER
Object or substance involved
LADDER
Summary line
puting boxed donuts up the ladder collapsed (fell forward) causing the employee to pin her right arm between two racks.
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
- 105
- Total hours worked
- 156743
- EIN
- 943019135
- Establishment ID
- 1141203
- Employer case #
- 101473
When (timing detail)
- Date of incident
- Shift started
- 3:00:00.000
- Time of incident
- 5:10:00.000
- 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.