LAKESIDE, AZ —
OSHA Injury Report: SWY-0017-0017-02069 FAC-02069-LAKESIDE-AZ
Injury · Days away from work
At a glance
On , an injury at SWY-0017-0017-02069 FAC-02069-LAKESIDE-AZ in LAKESIDE, AZ 85929 resulted in days away from work. Employee was general Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0017-0017-02069 FAC-02069-LAKESIDE-AZ
- Parent company
- Safeway Inc
- Street
- 20 EAST WHITE MOUNTAIN BLVD
- City
- LAKESIDE
- State
- AZ
- ZIP
- 85929
- On-site location
- GROCERY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 49
- Days restricted or transferred
- 4
Before the incident
STOCKING
What happened
Employee was stepping off step ladder and lost balance fell to the floor. Hit tail bonelower back left elbow left shoulder and back of head.
Injury or illness
Sprained Left Elbow Fall from ladder scaffold FLOOR
Object or substance involved
FLOOR
Summary line
Employee was stepping off step ladder and lost balance fell to the floor. Hit tail bonelower back left elbow left shoulder and back of head.
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
- 116
- Total hours worked
- 180750
- EIN
- 943019135
- Establishment ID
- 1141240
- Employer case #
- 102451
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 11:30:00.000
- 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.