GUERNEVILLE, CA —
OSHA Injury Report: SWY-0025-0025-00950 FAC-00950-GUERNEVILLE-CA
Injury · Job transfer or restriction
At a glance
On , an injury at SWY-0025-0025-00950 FAC-00950-GUERNEVILLE-CA in GUERNEVILLE, CA 95446 resulted in job transfer or restriction. Employee was multi Purpose C in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0025-0025-00950 FAC-00950-GUERNEVILLE-CA
- Parent company
- Safeway Inc
- Street
- 16405 HWY 116
- City
- GUERNEVILLE
- State
- CA
- ZIP
- 95446
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 21
Before the incident
PICKING UP A BOX
What happened
Employee was picking up a box and hurt his back
Injury or illness
Bruised Upper back Lifting BOX
Object or substance involved
BOX
Summary line
Employee was picking up a box and hurt his back
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
- 97
- Total hours worked
- 142431
- EIN
- 943019135
- Establishment ID
- 1141811
- Employer case #
- 91590
When (timing detail)
- Date of incident
- Shift started
- 9:00:00.000
- Time of incident
- 12:30:00.000
- 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.