LOS GATOS, CA — 2023-10-25

OSHA Injury Report: SWY-0025-0025-00742 FAC-00742-LOS GATOS-CA

Injury · Job transfer or restriction

At a glance

On 2023-10-25, an injury at SWY-0025-0025-00742 FAC-00742-LOS GATOS-CA in LOS GATOS, CA 95032 resulted in job transfer or restriction. Employee was administrative in supermarkets and Other Grocery (except Convenience) Stores.

Where did this happen?

Establishment: SWY-0025-0025-00742 FAC-00742-LOS GATOS-CA
Parent company: Safeway Inc
Street: 1500 POLLARD ROAD
City: LOS GATOS
State: CA
ZIP: 95032
On-site location: ENTRANCE EXIT

What was the outcome?

Outcome: Job transfer or restriction (code 3)
Type: Injury (code 1)
Days restricted or transferred: 58

Before the incident

MOVING AND LIFTING A TABLE

What happened

[REDACTED] Alleges Approximately 9 Days Ago She Was Moving And Lifting A Table Weight Unknown To Put Up For Hiring When She Felt A Pain In The Middle Of Her Lower Back Causing Injury And [REDACTED] She Was Moving A Coin Dispenser And Had Increased Pain.

Injury or illness

Sprained Upper back Carrying TABLE

Object or substance involved

TABLE

Summary line

Employee and industry

Job description: Administrative
SOC code: 13-1199 — Business Operations Specialists, All Other
NAICS code: 445110 — Supermarkets and Other Grocery (except Convenience) Stores
NAICS vintage: 2022
Avg employees: 43
Total hours worked: 77990
EIN: 943019135
Establishment ID: 1141780
Employer case #: 91768

When (timing detail)

Date of incident: 2023-10-25
Shift started: 5:00:00.000
Time of incident: 12:00:00.000
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.