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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: SWY-0024-0024-03600 FAC-03600-LAKE STEVENS-WA

Injury · Job transfer or restriction

On , an injury at SWY-0024-0024-03600 FAC-03600-LAKE STEVENS-WA in LAKE STEVENS, WA 98258 resulted in job transfer or restriction. Employee was food Clerk Re in supermarkets and Other Grocery (except Convenience) Stores.

Establishment
SWY-0024-0024-03600 FAC-03600-LAKE STEVENS-WA
Parent company
Safeway Inc
Street
8915 MARKET PLACE NE
City
LAKE STEVENS
State
WA
ZIP
98258
On-site location
SALESFLOOR
Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
14

STOCKING

Slipped on wet sales floor as it was being prepared for waxing and fell on wrist to stop fall.

Sprained Left Wrist Fall FLOOR

FLOOR

Slipped on wet sales floor as it was being prepared for waxing and fell on wrist to stop fall.

Job description
Food Clerk Re
SOC code
53-7065 — Stockers and Order Fillers
NAICS code
445110 — Supermarkets and Other Grocery (except Convenience) Stores
NAICS vintage
2022
Avg employees
115
Total hours worked
176158
EIN
943019135
Establishment ID
1141386
Employer case #
100422
Date of incident
Shift started
22:00:00.000
Time of incident
0:10:00.000
Submitted
21FEB24:00:37:00

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.