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 produce Clerk 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
- COOLER
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 21
Before the incident
WALKING
What happened
slipped and fell on ice
Injury or illness
Fracture Right Thumb Fall ICE
Object or substance involved
ICE
Summary line
slipped and fell on ice
Employee and industry
- Job description
- Produce Clerk
- SOC code
- 53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
- 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 #
- 91125
When (timing detail)
- Date of incident
- Shift started
- 23:00:00.000
- Time of incident
- 13:47:00.000
- 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.