MODESTO, CA —
OSHA Injury Report: SWY-0025-0025-01661 FAC-01661-MODESTO-CA
Other illness · Days away from work
At a glance
On , an other illness at SWY-0025-0025-01661 FAC-01661-MODESTO-CA in MODESTO, CA 95350 resulted in days away from work. Employee was multi Purpose C in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0025-0025-01661 FAC-01661-MODESTO-CA
- Parent company
- Safeway Inc
- Street
- 2001 MCHENRY AVENUE- SUITE C
- City
- MODESTO
- State
- CA
- ZIP
- 95350
- On-site location
- FLORAL & GIFT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Other illness (code 6)
- Days away from work
- 91
Before the incident
NORMAL JOB DUTIES
What happened
CT [REDACTED] - [REDACTED] lower extremity - Application for Adjudication of Claim
Injury or illness
Injured Left Hip Cumulative Floral tools
Object or substance involved
Floral tools
Summary line
CT [REDACTED] - [REDACTED] lower extremity - Application for Adjudication of Claim
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
- 139
- Total hours worked
- 202939
- EIN
- 943019135
- Establishment ID
- 1141903
- Employer case #
- 92066
When (timing detail)
- Date of incident
- Shift started
- 12:00:00.000
- Time of incident
- 12:00:00.000
- 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.