DES MOINES, WA —
OSHA Injury Report: SWY-0027-0027-03540 FAC-03540-DES MOINES-WA
Injury · Job transfer or restriction
At a glance
On , an injury at SWY-0027-0027-03540 FAC-03540-DES MOINES-WA in DES MOINES, WA 98198 resulted in job transfer or restriction. Employee was food 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
- ALCOHOL LIQUOR
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 18
Before the incident
SITTING ON STEP LADDER
What happened
employee sat on the step ladder facing product on shelf step ladder was not latched on all the way step ladder gave out resulting employee to fall back hitting head and back.
Injury or illness
Bruised Chest Fall LADDER
Object or substance involved
LADDER
Summary line
employee sat on the step ladder facing product on shelf step ladder was not latched on all the way step ladder gave out resulting employee to fall back hitting head and back.
Employee and industry
- Job description
- Food Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- 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 #
- 101090
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 5:37:00.000
- 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.