POULSBO, WA —
OSHA Injury Report: SWY-0027-0027-03148 FAC-03148-POULSBO-WA
Injury · Days away from work
At a glance
On , an injury at SWY-0027-0027-03148 FAC-03148-POULSBO-WA in POULSBO, WA 98370 resulted in days away from work. Employee was clerk Helper 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
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
- Days restricted or transferred
- 84
Before the incident
MOVING A GATORADE SHIPPER
What happened
Employee [REDACTED] [REDACTED] #[REDACTED] was moving a [REDACTED] shipper. He felt the pain around [REDACTED] and it was on the left side of his shoulder muscle. At [REDACTED] he let me know ([REDACTED]) that his whole left arm was going numb
Injury or illness
Sprained Left Shoulder(s) Pushing or pulling GATORADE SHIPPER
Object or substance involved
GATORADE SHIPPER
Summary line
Employee [REDACTED] [REDACTED] #[REDACTED] was moving a [REDACTED] shipper. He felt the pain around [REDACTED] and it was on the left side of his shoulder muscle. At [REDACTED] he let me know ([REDACTED]) that his whole left arm was going numb
Employee and industry
- Job description
- Clerk Helper
- SOC code
- 53-7065 — Stockers and Order Fillers
- 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 #
- 102760
When (timing detail)
- Date of incident
- Shift started
- 12:25:00.000
- Time of incident
- 12:45:00.000
- 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.