DISCOVERY BAY, CA —
OSHA Injury Report: SWY-0025-0025-01917 FAC-01917-DISCOVERY BAY-CA
Injury · Days away from work
At a glance
On , an injury at SWY-0025-0025-01917 FAC-01917-DISCOVERY BAY-CA in DISCOVERY BAY, CA 94505 resulted in days away from work. Employee was deli Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0025-0025-01917 FAC-01917-DISCOVERY BAY-CA
- Parent company
- Safeway Inc
- Street
- 14840 HIGHWAY 4
- City
- DISCOVERY BAY
- State
- CA
- ZIP
- 94505
- On-site location
- DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
Before the incident
FLOOR MAINTENANCE
What happened
employee claims to have fallen by the dish washer
Injury or illness
Bruised Bilateral Shoulder(s) Fall FLOOR
Object or substance involved
FLOOR
Summary line
employee claims to have fallen by the dish washer
Employee and industry
- Job description
- Deli Clerk
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 123
- Total hours worked
- 184391
- EIN
- 943019135
- Establishment ID
- 1141928
- Employer case #
- 91869
When (timing detail)
- Date of incident
- Shift started
- 11:15:00.000
- Time of incident
- 15:00:00.000
- 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.