LAKE OSWEGO, OR —
OSHA Injury Report: SWY-0019-0019-00508 FAC-00508-LAKE OSWEGO-OR
Injury · Days away from work
At a glance
On , an injury at SWY-0019-0019-00508 FAC-00508-LAKE OSWEGO-OR in LAKE OSWEGO, OR 97034 resulted in days away from work. Employee was starbucks Mgr in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0019-0019-00508 FAC-00508-LAKE OSWEGO-OR
- Parent company
- Safeway Inc
- Street
- 401 A AVENUE
- City
- LAKE OSWEGO
- State
- OR
- ZIP
- 97034
- On-site location
- COFFEE KIOSK
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 68
Before the incident
REACHING FOR A BAG OF COFFEE
What happened
was standing on a chair reaching for a bag of coffee from the cupboard and fell on the floor
Injury or illness
Strained Left Knee Fall from different level BAG OF COFFEE
Object or substance involved
BAG OF COFFEE
Summary line
was standing on a chair reaching for a bag of coffee from the cupboard and fell on the floor
Employee and industry
- Job description
- Starbucks Mgr
- 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
- 90
- Total hours worked
- 139651
- EIN
- 943019135
- Establishment ID
- 1141284
- Employer case #
- 103425
When (timing detail)
- Date of incident
- Shift started
- 5:40:00.000
- Time of incident
- 14:17:00.000
- 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.