JACKSON, CA —
OSHA Injury Report: SWY-0025-0025-02778 FAC-02778-JACKSON-CA
Injury · Days away from work
At a glance
On , an injury at SWY-0025-0025-02778 FAC-02778-JACKSON-CA in JACKSON, CA 95642 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-0025-0025-02778 FAC-02778-JACKSON-CA
- Parent company
- Safeway Inc
- Street
- 12110 INDUSTRY BLVD
- City
- JACKSON
- State
- CA
- ZIP
- 95642
- On-site location
- DAIRY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 5
Before the incident
NORMAL DUTIES
What happened
Employee slid on water on floor and landed on knees.
Injury or illness
Bruised Right Knee Fall WATER
Object or substance involved
WATER
Summary line
Employee slid on water on floor and landed on knees.
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
- 145
- Total hours worked
- 230765
- EIN
- 943019135
- Establishment ID
- 1141974
- Employer case #
- 92796
When (timing detail)
- Date of incident
- Shift started
- 0:00:00.000
- Time of incident
- 5:47:00.000
- Submitted
- 21FEB24:00:41:00
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.