FLORENCE, OR —
OSHA Injury Report: SWY-0019-0019-00363 FAC-00363-FLORENCE-OR
Injury · Other recordable case
At a glance
On , an injury at SWY-0019-0019-00363 FAC-00363-FLORENCE-OR in FLORENCE, OR 97439 resulted in other recordable case. Employee was frozen Manager in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0019-0019-00363 FAC-00363-FLORENCE-OR
- Parent company
- Safeway Inc
- Street
- 700 HIGHWAY 101
- City
- FLORENCE
- State
- OR
- ZIP
- 97439
- On-site location
- CONSTRUCTION SITE
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
DOING ROOFING
What happened
hurt his back doing roofing
Injury or illness
Strained Low back Lifting ROOF
Object or substance involved
ROOF
Summary line
hurt his back doing roofing
Employee and industry
- Job description
- Frozen Manager
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 136
- Total hours worked
- 190509
- EIN
- 943019135
- Establishment ID
- 1141269
- Employer case #
- 98590
When (timing detail)
- Date of incident
- Shift started
- 12:00:00.000
- Time of incident
- 14:30:00.000
- 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.