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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: SWY-0025-0025-00639 FAC-00639-SAN MATEO-CA

Injury · Days away from work

On , an injury at SWY-0025-0025-00639 FAC-00639-SAN MATEO-CA in SAN MATEO, CA 94402 resulted in days away from work. Employee was courtesy Clerk in supermarkets and Other Grocery (except Convenience) Stores.

Establishment
SWY-0025-0025-00639 FAC-00639-SAN MATEO-CA
Parent company
Safeway Inc
Street
100 DE ANZA BLVD
City
SAN MATEO
State
CA
ZIP
94402
On-site location
FRONT END FLOORCARE JANITOR PORTER
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
15
Days restricted or transferred
109

PUSHING CARTS

Employee pushing carts. Tripped and fell. Hurt right knee.

Sprained Right Knee Fall FLOOR

FLOOR

Employee pushing carts. Tripped and fell. Hurt right knee.

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
73
Total hours worked
119356
EIN
943019135
Establishment ID
1141763
Employer case #
90122
Date of incident
Shift started
6:41:00.000
Time of incident
9:00:00.000
Submitted
27FEB24:23:18:00

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.