VANCOUVER, WA —
OSHA Injury Report: SWY-0019-0019-01611 FAC-01611-VANCOUVER-WA
Injury · Days away from work
At a glance
On , an injury at SWY-0019-0019-01611 FAC-01611-VANCOUVER-WA in VANCOUVER, WA 98661 resulted in days away from work. Employee was deli clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0019-0019-01611 FAC-01611-VANCOUVER-WA
- Parent company
- Safeway Inc
- Street
- 6711 NE 63RD ST
- City
- VANCOUVER
- State
- WA
- ZIP
- 98661
- On-site location
- BAKERY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 19
Before the incident
WALKING
What happened
[REDACTED] was walking back to the bakery when she tripped on her shoe and fell.
Injury or illness
Dislocated Right Shoulder(s) Fall FLOOR
Object or substance involved
FLOOR
Summary line
[REDACTED] was walking back to the bakery when she tripped on her shoe and fell.
Employee and industry
- Job description
- deli clerk
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 140
- Total hours worked
- 206464
- EIN
- 943019135
- Establishment ID
- 1141320
- Employer case #
- 104489
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 6:05:00.000
- 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.