FOREST GROVE, OR —
OSHA Injury Report: SWY-0019-0019-00406 FAC-00406-FOREST GROVE-OR
Injury · Other recordable case
At a glance
On , an injury at SWY-0019-0019-00406 FAC-00406-FOREST GROVE-OR in FOREST GROVE, OR 97116 resulted in other recordable case. Employee was courtesy Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0019-0019-00406 FAC-00406-FOREST GROVE-OR
- Parent company
- Safeway Inc
- Street
- 2836 PACIFIC AVENUE
- City
- FOREST GROVE
- State
- OR
- ZIP
- 97116
- On-site location
- BACKROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
LIFTING AND MOVING BOXES
What happened
Injured shoulder while lifting and moving boxes
Injury or illness
Strained Right Shoulder(s) Lifting BOXES
Object or substance involved
BOXES
Summary line
Injured shoulder while lifting and moving boxes
Employee and industry
- Job description
- Courtesy Clerk
- SOC code
- 53-7064 — Packers and Packagers, Hand
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 141
- Total hours worked
- 182330
- EIN
- 943019135
- Establishment ID
- 1141276
- Employer case #
- 104862
When (timing detail)
- Date of incident
- Shift started
- 12:00:00.000
- Time of incident
- 16:30:00.000
- 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.