SAN RAFAEL, CA —
OSHA Injury Report: SWY-0025-0025-00653 FAC-00653-SAN RAFAEL-CA
Injury · Job transfer or restriction
At a glance
On , an injury at SWY-0025-0025-00653 FAC-00653-SAN RAFAEL-CA in SAN RAFAEL, CA 94901 resulted in job transfer or restriction. Employee was food Clerk 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
- ENTRANCE EXIT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 14
Before the incident
WALKING
What happened
Caller Alleges That 12 Hours Ago While [REDACTED] Was Walking About To Clock In For The Day [REDACTED] Slipped On Wet Floor And Fell On Her L Leg And L Part Of Her Body.
Injury or illness
Bruised Right Shoulder(s) Fall WET FLOOR
Object or substance involved
WET FLOOR
Summary line
Caller Alleges That 12 Hours Ago While [REDACTED] Was Walking About To Clock In For The Day [REDACTED] Slipped On Wet Floor And Fell On Her L Leg And L Part Of Her Body.
Employee and industry
- Job description
- Food Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- 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 #
- 92411
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 6:55:00.000
- 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.