POULSBO, WA —
OSHA Injury Report: SWY-0027-0027-03148 FAC-03148-POULSBO-WA
Injury · Job transfer or restriction
At a glance
On , an injury at SWY-0027-0027-03148 FAC-03148-POULSBO-WA in POULSBO, WA 98370 resulted in job transfer or restriction. Employee was person In Charg in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0027-0027-03148 FAC-03148-POULSBO-WA
- Parent company
- Safeway Inc
- Street
- 19245 10TH AVE NE
- City
- POULSBO
- State
- WA
- ZIP
- 98370
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 3
Before the incident
STOCKING
What happened
went up to check stand inquired with customer if they wanted bags I then proceeded to get the bags I turned to the left to bend down to get to the bag rack as I went up to put the bags to the next setting my back locked up.
Injury or illness
Sprained Left Upper back Lifting BAG
Object or substance involved
BAG
Summary line
went up to check stand inquired with customer if they wanted bags I then proceeded to get the bags I turned to the left to bend down to get to the bag rack as I went up to put the bags to the next setting my back locked up.
Employee and industry
- Job description
- Person In Charg
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 135
- Total hours worked
- 212819
- EIN
- 943019135
- Establishment ID
- 1141680
- Employer case #
- 97705
When (timing detail)
- Date of incident
- Shift started
- 9:00:00.000
- Time of incident
- 9:30:00.000
- 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.