ISSAQUAH, WA —
OSHA Injury Report: SWY-0027-0027-01624 FAC-01624-ISSAQUAH-WA
Injury · Other recordable case
At a glance
On , an injury at SWY-0027-0027-01624 FAC-01624-ISSAQUAH-WA in ISSAQUAH, WA 98027 resulted in other recordable case. Employee was food Clerk Re in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0027-0027-01624 FAC-01624-ISSAQUAH-WA
- Parent company
- Safeway Inc
- Street
- 735 N W GILMAN BLVD
- City
- ISSAQUAH
- State
- WA
- ZIP
- 98027
- On-site location
- BACKROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
PALLET LOAD BREAKDOWN SORT
What happened
Employee was wrapping a pallet tripped on the power jack leg and fell backwards on the floor hitting head and tailbone.
Injury or illness
Bruised Head Fall PALLET
Object or substance involved
PALLET
Summary line
Employee was wrapping a pallet tripped on the power jack leg and fell backwards on the floor hitting head and tailbone.
Employee and industry
- 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
- 104
- Total hours worked
- 152201
- EIN
- 943019135
- Establishment ID
- 1141498
- Employer case #
- 103403
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 13:05:00.000
- 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.