WOODBURN, OR —
OSHA Injury Report: SWY-0019-0019-01976 FAC-01976-WOODBURN-OR
Injury · Other recordable case
At a glance
On , an injury at SWY-0019-0019-01976 FAC-01976-WOODBURN-OR in WOODBURN, OR 97071 resulted in other recordable case. Employee was all Purpose Cle in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0019-0019-01976 FAC-01976-WOODBURN-OR
- Parent company
- Safeway Inc
- Street
- 1550 NORTH PACIFIC HWY
- City
- WOODBURN
- State
- OR
- ZIP
- 97071
- On-site location
- BACKROOM COOLER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
PALLET LOAD BREAKDOWN SORT
What happened
Picked up a box of lettuce upon lift heard a pop in my left shoulder.
Injury or illness
Tenosynovitis Left Shoulder(s) Lifting BOX OF LETTUCE
Object or substance involved
BOX OF LETTUCE
Summary line
Picked up a box of lettuce upon lift heard a pop in my left shoulder.
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
- 144
- Total hours worked
- 209229
- EIN
- 943019135
- Establishment ID
- 1141346
- Employer case #
- 101434
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 5:30:00.000
- 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.