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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: SWY-0019-0019-01231 FAC-01231-CLACKAMAS-OR

Injury · Job transfer or restriction

On , an injury at SWY-0019-0019-01231 FAC-01231-CLACKAMAS-OR in CLACKAMAS, OR 97015 resulted in job transfer or restriction. Employee was produce Clerk in supermarkets and Other Grocery (except Convenience) Stores.

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
PRODUCE
Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
180

PUTTING A BOX ON SHELF

was attempting to put a box up on a shelf. As she did the box slid back and bounced off her shoulder.

Strained Left Shoulder(s) Struck by object BOX

BOX

was attempting to put a box up on a shelf. As she did the box slid back and bounced off her shoulder.

Job description
Produce Clerk
SOC code
53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
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 #
100382
Date of incident
Shift started
5:00:00.000
Time of incident
9:00:00.000
Submitted
21FEB24:00:36:00

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.