Federal Way, WA —
OSHA Injury Report: 701-00111
Injury · Job transfer or restriction
At a glance
On , an injury at 701-00111 in Federal Way, WA 98023 resulted in job transfer or restriction. Employee was bAKERY CLERK in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- 701-00111
- Parent company
- Fred Meyer Stores Inc
- Street
- 33702 21St Ave Sw
- City
- Federal Way
- State
- WA
- ZIP
- 98023
- On-site location
- BAKERY DEPT NEAR BREAD RACK
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 2
Before the incident
GRABBING SOME BREAD
What happened
While EE was grabbing some bread the bread rack slammed into his left knee EEs knee is swollen and there is some pain
Injury or illness
Concussion Right Knee Other injury bread rack
Object or substance involved
bread rack
Summary line
Concussion Right Knee Other injury bread rack
Employee and industry
- Job description
- BAKERY CLERK
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 297
- Total hours worked
- 411042
- EIN
- 930798201
- Establishment ID
- 966805
- Employer case #
- 879289
When (timing detail)
- Date of incident
- Shift started
- 23:59
- Time of incident
- 3:30
- Filing year
- 2024
- Submitted
- 26FEB2025:21:38:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.