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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: SWY-0025-0025-02828 FAC-02828-NOVATO-CA

Injury · Job transfer or restriction

On , an injury at SWY-0025-0025-02828 FAC-02828-NOVATO-CA in NOVATO, CA 94949 resulted in job transfer or restriction. Employee was baker in supermarkets and Other Grocery (except Convenience) Stores.

Establishment
SWY-0025-0025-02828 FAC-02828-NOVATO-CA
Parent company
Safeway Inc
Street
5720 NAVE DRIVE
City
NOVATO
State
CA
ZIP
94949
On-site location
BAKERY
Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
133

CAKE DECORATING

Right elbow pain

Bruised Right Elbow Lifting Decorating tools

Decorating tools

Right elbow pain

Job description
Baker
SOC code
51-3011 — Bakers
NAICS code
445110 — Supermarkets and Other Grocery (except Convenience) Stores
NAICS vintage
2022
Avg employees
115
Total hours worked
180781
EIN
943019135
Establishment ID
1141977
Employer case #
89947
Date of incident
Shift started
2:43:00.000
Time of incident
12:00:00.000
Submitted
21FEB24:00:41:00

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.