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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: SWY-0025-0025-01138 FAC-01138-BELMONT-CA

Injury · Days away from work

On , an injury at SWY-0025-0025-01138 FAC-01138-BELMONT-CA in BELMONT, CA 94002 resulted in days away from work. Employee was courtesy Clerk in supermarkets and Other Grocery (except Convenience) Stores.

Establishment
SWY-0025-0025-01138 FAC-01138-BELMONT-CA
Parent company
Safeway Inc
Street
1100 EL CAMINO REAL
City
BELMONT
State
CA
ZIP
94002
On-site location
BREAKROOM
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
10
Days restricted or transferred
40

WAITING AT THE TIME CLOCK

vendor from climate pros open the door to the motor room hitting our courtesy clerk who was waiting at the timeclock

Sprained Right Neck Struck by object handled DOOR

DOOR

vendor from climate pros open the door to the motor room hitting our courtesy clerk who was waiting at the timeclock

Job description
Courtesy Clerk
SOC code
53-7064 — Packers and Packagers, Hand
NAICS code
445110 — Supermarkets and Other Grocery (except Convenience) Stores
NAICS vintage
2022
Avg employees
115
Total hours worked
201868
EIN
943019135
Establishment ID
1141847
Employer case #
91918
Date of incident
Shift started
6:00:00.000
Time of incident
14:00:00.000
Submitted
21FEB24:00:40:00

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.