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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: SWY-0019-0019-01527 FAC-01527-STAYTON-OR

Injury · Other recordable case

On , an injury at SWY-0019-0019-01527 FAC-01527-STAYTON-OR in STAYTON, OR 97383 resulted in other recordable case. Employee was courtesy Clerk in supermarkets and Other Grocery (except Convenience) Stores.

Establishment
SWY-0019-0019-01527 FAC-01527-STAYTON-OR
Parent company
Safeway Inc
Street
1535 N 1ST STREET
City
STAYTON
State
OR
ZIP
97383
On-site location
GROCERY
Outcome
Other recordable case (code 4)
Type
Injury (code 1)

WALKING

tripped over a box on floor and fell.

Strained Low back Fall BOX

BOX

tripped over a box on floor and fell.

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
126
Total hours worked
188764
EIN
943019135
Establishment ID
1141313
Employer case #
103723
Date of incident
Shift started
4:00:00.000
Time of incident
5:28:00.000
Submitted
21FEB24:00:37:00

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.