LAKE STEVENS, WA —
OSHA Injury Report: SWY-0027-0027-01803 FAC-01803-LAKE STEVENS-WA
Respiratory condition · Days away from work
At a glance
On , a respiratory condition at SWY-0027-0027-01803 FAC-01803-LAKE STEVENS-WA in LAKE STEVENS, WA 98258 resulted in days away from work. Employee was food Clerk Re in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0027-0027-01803 FAC-01803-LAKE STEVENS-WA
- Parent company
- Safeway Inc
- Street
- 717 SR 9 NE
- City
- LAKE STEVENS
- State
- WA
- ZIP
- 98258
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Respiratory condition (code 3)
- Days away from work
- 5
Before the incident
NORMAL JOB DUTIES
What happened
Tested Positive for COVID - 19
Injury or illness
COVID-19 Respiratory system Pandemic COVID 19
Object or substance involved
COVID 19
Summary line
Tested Positive for COVID - 19
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
- 199
- Total hours worked
- 273199
- EIN
- 943019135
- Establishment ID
- 1141509
- Employer case #
- 98167
When (timing detail)
- Date of incident
- Shift started
- 0:00:00.000
- Time of incident
- 12:00:00.000
- 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.