Maple Valley, WA —
OSHA Injury Report: 701-00682
Injury · Days away from work
At a glance
On , an injury at 701-00682 in Maple Valley, WA 98038 resulted in days away from work. Employee was hOME HARDLINES in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 701-00682
- Parent company
- Fred Meyer Stores Inc
- Street
- 26520 Maple Valley Black Diamond Rd SE
- City
- Maple Valley
- State
- WA
- ZIP
- 98038
- On-site location
- HOME GROCERY STOCK ONLY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
- Days restricted or transferred
- 15
Before the incident
PUSHING A PALLET [REDACTED]
What happened
EE was push a hand pallet When another associate on a forklift carrying furniture hit the pallet EE that employees was pushing causing that pallet jack to hit associate in the left shoulder and chesT
Injury or illness
Bruised Left Shoulder Struck by hand tool pallletJack
Object or substance involved
pallletJack
Summary line
Bruised Left Shoulder Struck by hand tool pallletJack
Employee and industry
- Job description
- HOME HARDLINES
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 288
- Total hours worked
- 380751
- EIN
- 930798201
- Establishment ID
- 966904
- Employer case #
- 871027
When (timing detail)
- Date of incident
- Shift started
- 18:00
- Time of incident
- 19:35
- 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.