DUVALL, WA —
OSHA Injury Report: SWY-0027-0027-01572 FAC-01572-DUVALL-WA
Injury · Job transfer or restriction
At a glance
On , an injury at SWY-0027-0027-01572 FAC-01572-DUVALL-WA in DUVALL, WA 98019 resulted in job transfer or restriction. Employee was seafood Manager in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0027-0027-01572 FAC-01572-DUVALL-WA
- Parent company
- Safeway Inc
- Street
- 14020 MAIN STREET NE
- City
- DUVALL
- State
- WA
- ZIP
- 98019
- On-site location
- SEAFOOD
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 5
Before the incident
BUILDING DISPLAY
What happened
[REDACTED] was setting up the seafood case when she slipped on a wet spot from floor waxing that happened [REDACTED]. The waxed area was blocked off with caution tape besides the part between seafood produce departments.
Injury or illness
Bruised Left Elbow Fall FLOOR
Object or substance involved
FLOOR
Summary line
[REDACTED] was setting up the seafood case when she slipped on a wet spot from floor waxing that happened [REDACTED]. The waxed area was blocked off with caution tape besides the part between seafood produce departments.
Employee and industry
- Job description
- Seafood Manager
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 129
- Total hours worked
- 166022
- EIN
- 943019135
- Establishment ID
- 1141491
- Employer case #
- 97102
When (timing detail)
- Date of incident
- Shift started
- 2:00:00.000
- Time of incident
- 4:45:00.000
- Submitted
- 21FEB24:00:38:00
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.