WILLITS, CA —
OSHA Injury Report: SWY-0025-0025-00965 FAC-00965-WILLITS-CA
Respiratory condition · Days away from work
At a glance
On , a respiratory condition at SWY-0025-0025-00965 FAC-00965-WILLITS-CA in WILLITS, CA 95490 resulted in days away from work. Employee was fuel Station De in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0025-0025-00965 FAC-00965-WILLITS-CA
- Parent company
- Safeway Inc
- Street
- 845 SOUTH MAIN ST
- City
- WILLITS
- State
- CA
- ZIP
- 95490
- On-site location
- FUEL DEPT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Respiratory condition (code 3)
- Days away from work
- 5
Before the incident
NORMAL DUTIES
What happened
Tested Positive for COVID - 19
Injury or illness
COVID-19 Respiratory system Pandemic COVID19
Object or substance involved
COVID19
Summary line
Tested Positive for COVID - 19
Employee and industry
- Job description
- Fuel Station De
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 114
- Total hours worked
- 178843
- EIN
- 943019135
- Establishment ID
- 1141818
- Employer case #
- 80850
When (timing detail)
- Date of incident
- Shift started
- 0:00:00.000
- Time of incident
- 12:00:00.000
- 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.