FORTUNA, CA —
OSHA Injury Report: SWY-0025-0025-00975 FAC-00975-FORTUNA-CA
Injury · Job transfer or restriction
At a glance
On , an injury at SWY-0025-0025-00975 FAC-00975-FORTUNA-CA in FORTUNA, CA 95540 resulted in job transfer or restriction. Employee was deli Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0025-0025-00975 FAC-00975-FORTUNA-CA
- Parent company
- Safeway Inc
- Street
- 701 S FORTUNA BLVD
- City
- FORTUNA
- State
- CA
- ZIP
- 95540
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 9
Before the incident
WALKING
What happened
employee slipped and fell hurt back.
Injury or illness
Sprained Posterior Low back Fall LIQUID ON FLOOR
Object or substance involved
LIQUID ON FLOOR
Summary line
employee slipped and fell hurt back.
Employee and industry
- Job description
- Deli Clerk
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 105
- Total hours worked
- 153962
- EIN
- 943019135
- Establishment ID
- 1141825
- Employer case #
- 92467
When (timing detail)
- Date of incident
- Shift started
- 14:15:00.000
- Time of incident
- 17:05:00.000
- 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.