MOUNTAIN HOUSE, CA —
OSHA Injury Report: SWY-0025-0025-00055 FAC-00055-MOUNTAIN HOUSE-CA
Injury · Days away from work
At a glance
On , an injury at SWY-0025-0025-00055 FAC-00055-MOUNTAIN HOUSE-CA in MOUNTAIN HOUSE, CA 95391 resulted in days away from work. Employee was third Person in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0025-0025-00055 FAC-00055-MOUNTAIN HOUSE-CA
- Parent company
- Safeway Inc
- Street
- 19555 S MOUNTAIN HOUSE PKWY
- City
- MOUNTAIN HOUSE
- State
- CA
- ZIP
- 95391
- On-site location
- CHECKSTAND
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 13
- Days restricted or transferred
- 32
Before the incident
NORMAL DUTIES
What happened
On [REDACTED] around [REDACTED] I was instructed to change the water in the front entrance and add water underneath the TVs in front of the checkstand. [REDACTED] felt her outer shoulder pop and it started hurting even more.
Injury or illness
Strained Left Shoulder(s) Lifting WATER CASE
Object or substance involved
WATER CASE
Summary line
On [REDACTED] around [REDACTED] I was instructed to change the water in the front entrance and add water underneath the TVs in front of the checkstand. [REDACTED] felt her outer shoulder pop and it started hurting even more.
Employee and industry
- Job description
- Third Person
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 118
- Total hours worked
- 191818
- EIN
- 943019135
- Establishment ID
- 1141740
- Employer case #
- 89498
When (timing detail)
- Date of incident
- Shift started
- 15:30:00.000
- Time of incident
- 16:30:00.000
- 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.