PETALUMA, CA —
OSHA Injury Report: SWY-0025-0025-03011 FAC-03011-PETALUMA-CA
Injury · Other recordable case
At a glance
On , an injury at SWY-0025-0025-03011 FAC-03011-PETALUMA-CA in PETALUMA, CA 94954 resulted in other recordable case. Employee was multi Purpose C 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
- ENTRANCE EXIT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
CULLING TRIMMING
What happened
Employee slipped on plant matter outside north exit injuring right knee
Injury or illness
Sprained Right Knee Fall PLANT MATTER
Object or substance involved
PLANT MATTER
Summary line
Employee slipped on plant matter outside north exit injuring right knee
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
- 156
- Total hours worked
- 248763
- EIN
- 943019135
- Establishment ID
- 1142001
- Employer case #
- 90465
When (timing detail)
- Date of incident
- Shift started
- 10:58:00.000
- Time of incident
- 14:30:00.000
- 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.