PETALUMA, CA —
OSHA Injury Report: SWY-0025-0025-03011 FAC-03011-PETALUMA-CA
Injury · Days away from work
At a glance
On , an injury at SWY-0025-0025-03011 FAC-03011-PETALUMA-CA in PETALUMA, CA 94954 resulted in days away from work. Employee was courtesy Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0025-0025-03011 FAC-03011-PETALUMA-CA
- Parent company
- Safeway Inc
- Street
- 389 S MCDOWELL ROAD
- City
- PETALUMA
- State
- CA
- ZIP
- 94954
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 9
Before the incident
CART RETRIEVAL
What happened
Employee hit head on shelving
Injury or illness
Concussion Skull struck against stationary obje SHELF
Object or substance involved
SHELF
Summary line
Employee hit head on shelving
Employee and industry
- Job description
- Courtesy Clerk
- SOC code
- 53-7064 — Packers and Packagers, Hand
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 156
- Total hours worked
- 248763
- EIN
- 943019135
- Establishment ID
- 1142001
- Employer case #
- 80687
When (timing detail)
- Date of incident
- Shift started
- 10:57:00.000
- Time of incident
- 10:00:00.000
- 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.