SANTA ROSA, CA —
OSHA Injury Report: SWY-0025-0025-00713 FAC-00713-SANTA ROSA-CA
Injury · Days away from work
At a glance
On , an injury at SWY-0025-0025-00713 FAC-00713-SANTA ROSA-CA in SANTA ROSA, CA 95409 resulted in days away from work. Employee was multi Purpose C in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0025-0025-00713 FAC-00713-SANTA ROSA-CA
- Parent company
- Safeway Inc
- Street
- 100 CALISTOGA RD
- City
- SANTA ROSA
- State
- CA
- ZIP
- 95409
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 89
- Days restricted or transferred
- 8
Before the incident
CHECKING SCANNING
What happened
He was walking out of the check stand to rope it off. When he walked back into the check stand to complete the transaction he was finishing up and he slipped in a bit of water that was on the floor and fell forward onto the edge of the check stand.
Injury or illness
Bruised Posterior Upper back Fall WATERY FLOOR
Object or substance involved
WATERY FLOOR
Summary line
He was walking out of the check stand to rope it off. When he walked back into the check stand to complete the transaction he was finishing up and he slipped in a bit of water that was on the floor and fell forward onto the edge of the check stand.
Employee and industry
- Job description
- Multi Purpose C
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 128
- Total hours worked
- 187381
- EIN
- 943019135
- Establishment ID
- 1141778
- Employer case #
- 80096
When (timing detail)
- Date of incident
- Shift started
- 10:00:00.000
- Time of incident
- 11:37:00.000
- 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.