PLACERVILLE, CA —
OSHA Injury Report: SWY-0025-0025-01724 FAC-01724-PLACERVILLE-CA
Injury · Job transfer or restriction
At a glance
On , an injury at SWY-0025-0025-01724 FAC-01724-PLACERVILLE-CA in PLACERVILLE, CA 95667 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-0025-0025-01724 FAC-01724-PLACERVILLE-CA
- Parent company
- Safeway Inc
- Street
- 3955 MISSOURI FLAT ROAD
- City
- PLACERVILLE
- State
- CA
- ZIP
- 95667
- On-site location
- COFFEE KIOSK
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 51
Before the incident
OTHER
What happened
Employee was walking out of coffee kiosk the swinging door caught the back of her ankle
Injury or illness
Bruised Left Ankle Caught in under or between SWINGING DOOR
Object or substance involved
SWINGING DOOR
Summary line
Employee was walking out of coffee kiosk the swinging door caught the back of her ankle
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
- 152
- Total hours worked
- 227014
- EIN
- 943019135
- Establishment ID
- 1141910
- Employer case #
- 91499
When (timing detail)
- Date of incident
- Shift started
- 11:30:00.000
- Time of incident
- 17:15:00.000
- 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.