SURPRISE, AZ —
OSHA Injury Report: SWY-0017-0017-01997 FAC-01997-SURPRISE-AZ
Injury · Other recordable case
At a glance
On , an injury at SWY-0017-0017-01997 FAC-01997-SURPRISE-AZ in SURPRISE, AZ 85374 resulted in other recordable case. Employee was food Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0017-0017-01997 FAC-01997-SURPRISE-AZ
- Parent company
- Safeway Inc
- Street
- 17049 WEST BELL ROAD
- City
- SURPRISE
- State
- AZ
- ZIP
- 85374
- On-site location
- TRASH BIN AREA
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
STOCKING
What happened
Was helping throw trash and got hit on left side back shoulder
Injury or illness
Bruised Left Shoulder(s) Struck by object TRASH
Object or substance involved
TRASH
Summary line
Was helping throw trash and got hit on left side back shoulder
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
- 143
- Total hours worked
- 215628
- EIN
- 943019135
- Establishment ID
- 1141231
- Employer case #
- 98275
When (timing detail)
- Date of incident
- Shift started
- 4:00:00.000
- Time of incident
- 11:00:00.000
- 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.