DES MOINES, WA —
OSHA Injury Report: SWY-0027-0027-03540 FAC-03540-DES MOINES-WA
Injury · Days away from work
At a glance
On , an injury at SWY-0027-0027-03540 FAC-03540-DES MOINES-WA in DES MOINES, WA 98198 resulted in days away from work. Employee was courtesy Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0027-0027-03540 FAC-03540-DES MOINES-WA
- Parent company
- Safeway Inc
- Street
- 21401 PACIFIC HWY S
- City
- DES MOINES
- State
- WA
- ZIP
- 98198
- On-site location
- ENTRANCE EXIT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
Before the incident
NORMAL DUTIES
What happened
employee fell and hut her knee and hand
Injury or illness
Bruised Left Lower arm Fall BODY MOVEMENT
Object or substance involved
BODY MOVEMENT
Summary line
employee fell and hut her knee and hand
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
- 141
- Total hours worked
- 198320
- EIN
- 943019135
- Establishment ID
- 1141721
- Employer case #
- 99920
When (timing detail)
- Date of incident
- Shift started
- 11:45:00.000
- Time of incident
- 11:34:00.000
- 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.