VANCOUVER, WA —
OSHA Injury Report: SWY-0019-0019-01519 FAC-01519-VANCOUVER-WA
Injury · Other recordable case
At a glance
On , an injury at SWY-0019-0019-01519 FAC-01519-VANCOUVER-WA in VANCOUVER, WA 98684 resulted in other recordable case. Employee was all Purpose Cle in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0019-0019-01519 FAC-01519-VANCOUVER-WA
- Parent company
- Safeway Inc
- Street
- 13719 SE MILL PLAIN BLVD
- City
- VANCOUVER
- State
- WA
- ZIP
- 98684
- On-site location
- FREEZER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
PALLET LOAD BREAKDOWN SORT
What happened
employee fell in the backroom and hit the side of his head and was bleeding from his ear.
Injury or illness
Lacerated Right Ear Fall FLOOR
Object or substance involved
FLOOR
Summary line
employee fell in the backroom and hit the side of his head and was bleeding from his ear.
Employee and industry
- Job description
- All Purpose Cle
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 131
- Total hours worked
- 180861
- EIN
- 943019135
- Establishment ID
- 1141310
- Employer case #
- 103785
When (timing detail)
- Date of incident
- Shift started
- 2:04:00.000
- Time of incident
- 6:15:00.000
- Submitted
- 21FEB24:00:37:00
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.