LAKE STEVENS, WA —
OSHA Injury Report: SWY-0027-0027-01803 FAC-01803-LAKE STEVENS-WA
Injury · Days away from work
At a glance
On , an injury at SWY-0027-0027-01803 FAC-01803-LAKE STEVENS-WA in LAKE STEVENS, WA 98258 resulted in days away from work. Employee was courtesy Clerk 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
- ALCOHOL LIQUOR
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 31
- Days restricted or transferred
- 18
Before the incident
LIFTING HEAVY PRODUCTS
What happened
EE experienced discomfort at the end of their shift on [REDACTED] but have no recollection or memory of working that day or in the days following
Injury or illness
Fracture Right Chest Fall GROUND
Object or substance involved
GROUND
Summary line
EE experienced discomfort at the end of their shift on [REDACTED] but have no recollection or memory of working that day or in the days following
Employee and industry
- Job description
- Courtesy Clerk
- SOC code
- 53-7064 — Packers and Packagers, Hand
- 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 #
- 102266
When (timing detail)
- Date of incident
- Shift started
- 16:00:00.000
- Time of incident
- 20:00:00.000
- 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.