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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: SWY-0025-0025-02455 FAC-02455-SAN ANSELMO-CA

Injury · Days away from work

On , an injury at SWY-0025-0025-02455 FAC-02455-SAN ANSELMO-CA in SAN ANSELMO, CA 94960 resulted in days away from work. Employee was food Clerk in supermarkets and Other Grocery (except Convenience) Stores.

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
FLORAL GIFT
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
3
Days restricted or transferred
21

STOCKING

lifting pumpkins and back started to be sore

Strained Left Upper back Lifting PUMPKINS

PUMPKINS

lifting pumpkins and back started to be sore

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
62
Total hours worked
106492
EIN
943019135
Establishment ID
1141952
Employer case #
90563
Date of incident
Shift started
9:00:00.000
Time of incident
17:00:00.000
Submitted
27FEB24:23:21:00

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.