SAN RAFAEL, CA —
OSHA Injury Report: SWY-0025-0025-00653 FAC-00653-SAN RAFAEL-CA
Injury · Days away from work
At a glance
On , an injury at SWY-0025-0025-00653 FAC-00653-SAN RAFAEL-CA in SAN RAFAEL, CA 94901 resulted in days away from work. Employee was cake Decorator in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0025-0025-00653 FAC-00653-SAN RAFAEL-CA
- Parent company
- Safeway Inc
- Street
- 700 B ST
- City
- SAN RAFAEL
- State
- CA
- ZIP
- 94901
- On-site location
- BAKERY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 48
- Days restricted or transferred
- 29
Before the incident
WALKING
What happened
Fell in the Bakery by the sink and landed on his left knee.
Injury or illness
Dislocated Left Knee Fall Bakery floor
Object or substance involved
Bakery floor
Summary line
Fell in the Bakery by the sink and landed on his left knee.
Employee and industry
- Job description
- Cake Decorator
- SOC code
- 51-3092 — Food Batchmakers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 77
- Total hours worked
- 119979
- EIN
- 943019135
- Establishment ID
- 1141765
- Employer case #
- 91316
When (timing detail)
- Date of incident
- Shift started
- 6:45:00.000
- Time of incident
- 9:45:00.000
- Submitted
- 27FEB24:23:18:00
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.