MOUNT VERNON, WA —
OSHA Injury Report: SWY-0024-0024-03450 FAC-03450-MOUNT VERNON-WA
Injury · Other recordable case
At a glance
On , an injury at SWY-0024-0024-03450 FAC-03450-MOUNT VERNON-WA in MOUNT VERNON, WA 98273 resulted in other recordable case. Employee was deli Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0024-0024-03450 FAC-03450-MOUNT VERNON-WA
- Parent company
- Safeway Inc
- Street
- 2601 EAST DIVISION ST
- City
- MOUNT VERNON
- State
- WA
- ZIP
- 98273
- On-site location
- FOOD SERVICES
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
FOOD PRODUCT PREP
What happened
Another employee was in his way when he was walking and he turned to avoid bumping into the employee and slipped and fell on back and left shoulder.
Injury or illness
Sprained Left Upper back Fall FLOOR
Object or substance involved
FLOOR
Summary line
Another employee was in his way when he was walking and he turned to avoid bumping into the employee and slipped and fell on back and left shoulder.
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
- 134
- Total hours worked
- 201173
- EIN
- 943019135
- Establishment ID
- 1141380
- Employer case #
- 103256
When (timing detail)
- Date of incident
- Shift started
- 11:00:00.000
- Time of incident
- 13:00:00.000
- 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.