VACAVILLE, CA —
OSHA Injury Report: SWY-0025-0025-01109 FAC-01109-VACAVILLE-CA
Injury · Days away from work
At a glance
On , an injury at SWY-0025-0025-01109 FAC-01109-VACAVILLE-CA in VACAVILLE, CA 95687 resulted in days away from work. Employee was food Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0025-0025-01109 FAC-01109-VACAVILLE-CA
- Parent company
- Safeway Inc
- Street
- 2090 HARBISON DRIVE
- City
- VACAVILLE
- State
- CA
- ZIP
- 95687
- On-site location
- MEAT COOLER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
- Days restricted or transferred
- 21
Before the incident
PALLET LOAD BREAKDOWN SORT
What happened
Employee was putting a pallet in Meat Cooler w a Tote Motor. Walked backwards to exit cooler. Then the door swung and hit his left elbow. Filled out Incident Report with Employee.Now submitting it.
Injury or illness
Bruised Left Elbow Caught in under or between DOOR
Object or substance involved
DOOR
Summary line
Employee was putting a pallet in Meat Cooler w a Tote Motor. Walked backwards to exit cooler. Then the door swung and hit his left elbow. Filled out Incident Report with Employee.Now submitting it.
Employee and industry
- Job description
- Food Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 112
- Total hours worked
- 176676
- EIN
- 943019135
- Establishment ID
- 1141841
- Employer case #
- 90317
When (timing detail)
- Date of incident
- Shift started
- 3:56:00.000
- Time of incident
- 8:30:00.000
- 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.