CLACKAMAS, OR —
OSHA Injury Report: SWY-0019-0019-01231 FAC-01231-CLACKAMAS-OR
Injury · Job transfer or restriction
At a glance
On , an injury at SWY-0019-0019-01231 FAC-01231-CLACKAMAS-OR in CLACKAMAS, OR 97015 resulted in job transfer or restriction. Employee was customer Servic in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0019-0019-01231 FAC-01231-CLACKAMAS-OR
- Parent company
- Safeway Inc
- Street
- 12032 S E SUNNYSIDE ROAD
- City
- CLACKAMAS
- State
- OR
- ZIP
- 97015
- On-site location
- ENTRANCE
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 60
Before the incident
WALKING
What happened
Walking in the store in front of customer service she fell due to a traction of her shoe against the floor. Immediately felt pain in my right shoulder upon getting up.
Injury or illness
Fracture Right Shoulder(s) Fall FLOOR
Object or substance involved
FLOOR
Summary line
Walking in the store in front of customer service she fell due to a traction of her shoe against the floor. Immediately felt pain in my right shoulder upon getting up.
Employee and industry
- Job description
- Customer Servic
- SOC code
- 43-4051 — Customer Service Representatives
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 136
- Total hours worked
- 193212
- EIN
- 943019135
- Establishment ID
- 1141301
- Employer case #
- 97366
When (timing detail)
- Date of incident
- Shift started
- 10:00:00.000
- Time of incident
- 10:00:00.000
- 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.