Vancouver, WA ·
OSHA Injury Report: ABC Supply 569
Injury · Days away from work
At a glance
On , an injury at ABC Supply 569 in 3601 NE 109th Ave, Vancouver, WA 98682 resulted in days away from work. Employee was ABC Delivery Material Handler in roofing, Siding and Insulation Merchant Wholesalers.
Where did this happen?
- Establishment
- ABC Supply 569
- Parent company
- 725 W Region
- Street
- 3601 NE 109th Ave
- City
- Vancouver
- State
- WA
- ZIP
- 98682
- On-site location
- Jobsite Roof
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 45
- Days restricted or transferred
- 65
Before the incident
He hyperextended his shoulder on a [REDACTED] roof Was trying to reach a toe board when he slipped
What happened
He hyperextended his shoulder Was trying to reach for a toe board on a [REDACTED] roof when he slipped on to his shoulder
Injury or illness
LT Shoulder Pain Shoulders FallSame LevelInjury
Object or substance involved
Board on Roof
Summary line
He hyperextended his shoulder Was trying to reach for a toe board on a [REDACTED] roof when he slipped on to his shoulder
Employee and industry
- Job description
- ABC Delivery Material Handler
- SOC code
- 9999: Uncoded
- NAICS code
- 423330: Roofing, Siding and Insulation Merchant Wholesalers
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 25
- Hours worked at this establishment (2024 total)
- 52,575
- EIN
- 391413708
- Establishment ID
- 1308102
- Employer case #
- CLAIM51517
When (timing detail)
- Date of incident
- Shift started
- 06:34
- Time of incident
- 12:30
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-21
More injuries at ABC Supply 569
View ABC Supply 569's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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