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 home Shopping P 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
- PRODUCE
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 6
- Days restricted or transferred
- 6
Before the incident
STOCKING
What happened
Employee slipped on a grape in the produce department while picking a [REDACTED] order
Injury or illness
Sprained Left Upper back Fall GRAPE
Object or substance involved
GRAPE
Summary line
Employee slipped on a grape in the produce department while picking a [REDACTED] order
Employee and industry
- Job description
- Home Shopping P
- 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 #
- 90831
When (timing detail)
- Date of incident
- Shift started
- 1:45:00.000
- Time of incident
- 11:00:00.000
- 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.