CAMERON PARK, CA —
OSHA Injury Report: SWY-0025-0025-01618 FAC-01618-CAMERON PARK-CA
Injury · Job transfer or restriction
At a glance
On , an injury at SWY-0025-0025-01618 FAC-01618-CAMERON PARK-CA in CAMERON PARK, CA 95682 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-0025-0025-01618 FAC-01618-CAMERON PARK-CA
- Parent company
- Safeway Inc
- Street
- 3380 COACH LANE
- City
- CAMERON PARK
- State
- CA
- ZIP
- 95682
- On-site location
- DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 34
Before the incident
FLOOR MAINTENANCE
What happened
EE dumped an entire bowl of water on the ground unsafely and then walks right through the water he dumped on the floor and slips. Falls on his hip shoulder. EE appears to be wearing regular converse shoes not non-slip shoes.
Injury or illness
Sprained Right Shoulder(s) Fall WATER
Object or substance involved
WATER
Summary line
EE dumped an entire bowl of water on the ground unsafely and then walks right through the water he dumped on the floor and slips. Falls on his hip shoulder. EE appears to be wearing regular converse shoes not non-slip shoes.
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
- 94
- Total hours worked
- 151253
- EIN
- 943019135
- Establishment ID
- 1141897
- Employer case #
- 91473
When (timing detail)
- Date of incident
- Shift started
- 13:00:00.000
- Time of incident
- 21:30:00.000
- Submitted
- 21FEB24:00:40:00
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.