PORT ORCHARD, WA —
OSHA Injury Report: SWY-0027-0027-03317 FAC-03317-PORT ORCHARD-WA
Injury · Job transfer or restriction
At a glance
On , an injury at SWY-0027-0027-03317 FAC-03317-PORT ORCHARD-WA in PORT ORCHARD, WA 98366 resulted in job transfer or restriction. Employee was baker in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0027-0027-03317 FAC-03317-PORT ORCHARD-WA
- Parent company
- Safeway Inc
- Street
- 3355 BETHEL RD S E
- City
- PORT ORCHARD
- State
- WA
- ZIP
- 98366
- On-site location
- FREEZER
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 112
Before the incident
USING LADDER
What happened
[REDACTED] was on a two step ladder and fell of the second step in the freezer. He fell and hit his back and then his head
Injury or illness
Bruised Upper back Fall from different level LADDER
Object or substance involved
LADDER
Summary line
[REDACTED] was on a two step ladder and fell of the second step in the freezer. He fell and hit his back and then his head
Employee and industry
- Job description
- Baker
- SOC code
- 51-3011 — Bakers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 104
- Total hours worked
- 148428
- EIN
- 943019135
- Establishment ID
- 1141711
- Employer case #
- 100112
When (timing detail)
- Date of incident
- Shift started
- 3:59:00.000
- Time of incident
- 11:45:00.000
- Submitted
- 21FEB24:00:39:00
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.