SAN ANSELMO, CA —
OSHA Injury Report: SWY-0025-0025-02455 FAC-02455-SAN ANSELMO-CA
Injury · Job transfer or restriction
At a glance
On , an injury at SWY-0025-0025-02455 FAC-02455-SAN ANSELMO-CA in SAN ANSELMO, CA 94960 resulted in job transfer or restriction. Employee was deli Manager in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0025-0025-02455 FAC-02455-SAN ANSELMO-CA
- Parent company
- Safeway Inc
- Street
- 100 CENTER BLVD
- City
- SAN ANSELMO
- State
- CA
- ZIP
- 94960
- On-site location
- DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 28
Before the incident
USING A STEP STOOL
What happened
[REDACTED] Alleges About 33 [REDACTED] Ago She Was Using A Step Stool Doing Inventory When Her Right Foot Twisted Causing Her To Fall Onto Her Right Side Hitting The Right Side Of Her Head Neck Right Ribs Right Arm hand And Right Leg foot.
Injury or illness
Sprained Right Body systems Fall STEP STOOL
Object or substance involved
STEP STOOL
Summary line
[REDACTED] Alleges About 33 [REDACTED] Ago She Was Using A Step Stool Doing Inventory When Her Right Foot Twisted Causing Her To Fall Onto Her Right Side Hitting The Right Side Of Her Head Neck Right Ribs Right Arm hand And Right Leg foot.
Employee and industry
- Job description
- Deli Manager
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 62
- Total hours worked
- 106492
- EIN
- 943019135
- Establishment ID
- 1141952
- Employer case #
- 88359
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 1:00:00.000
- Submitted
- 27FEB24:23:21:00
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.