BEAVERTON, OR —
OSHA Injury Report: SWY-0019-0019-02631 FAC-02631-BEAVERTON-OR
Injury · Other recordable case
At a glance
On , an injury at SWY-0019-0019-02631 FAC-02631-BEAVERTON-OR in BEAVERTON, OR 97007 resulted in other recordable case. Employee was fuel Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0019-0019-02631 FAC-02631-BEAVERTON-OR
- Parent company
- Safeway Inc
- Street
- 14555 SW TEAL BLVD
- City
- BEAVERTON
- State
- OR
- ZIP
- 97007
- On-site location
- FUEL
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WALKING AND SLIPPED ON THE ICE
What happened
fuel employee states he fell on ice. big snow storm
Injury or illness
Strained Right Shoulder(s) Fall GROUND
Object or substance involved
GROUND
Summary line
fuel employee states he fell on ice. big snow storm
Employee and industry
- Job description
- Fuel Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 145
- Total hours worked
- 206587
- EIN
- 943019135
- Establishment ID
- 1141351
- Employer case #
- 98075
When (timing detail)
- Date of incident
- Shift started
- 5:30:00.000
- Time of incident
- 9:15:00.000
- 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.