TILLAMOOK, OR —
OSHA Injury Report: SWY-0019-0019-02723 FAC-02723-TILLAMOOK-OR
Injury · Job transfer or restriction
At a glance
On , an injury at SWY-0019-0019-02723 FAC-02723-TILLAMOOK-OR in TILLAMOOK, OR 97141 resulted in job transfer or restriction. Employee was courtesy clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0019-0019-02723 FAC-02723-TILLAMOOK-OR
- Parent company
- Safeway Inc
- Street
- 1815 4TH STREET
- City
- TILLAMOOK
- State
- OR
- ZIP
- 97141
- On-site location
- GROCERY BACKROOM
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 180
Before the incident
PALLET LOAD BREAKDOWN SORT
What happened
While trying to pull a meat cart out of the double doors by the customers restroom (walking backwards) I got stuck in the pallet jack behind me causing me to fall over.
Injury or illness
Strained Right Shoulder(s) Fall PALLET JACK
Object or substance involved
PALLET JACK
Summary line
While trying to pull a meat cart out of the double doors by the customers restroom (walking backwards) I got stuck in the pallet jack behind me causing me to fall over.
Employee and industry
- 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
- 120
- Total hours worked
- 170274
- EIN
- 943019135
- Establishment ID
- 1141355
- Employer case #
- 99144
When (timing detail)
- Date of incident
- Shift started
- 17:00:00.000
- Time of incident
- 3:30:00.000
- 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.