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 pRODUCE CLERK 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
- GROCERY STOCKROOM
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 19
Before the incident
PULLING POWER JACK WALKING BACKWARDS
What happened
EE was using an electric pallet jacket EE was pulling products backwards and lost balance falling backwards EE injured RT leg and RT ankle sustaining contusions and a distal fibula fracture [REDACTED] was later sought for the injury
Injury or illness
Fracture Right Ankle Fall on same level FLOOR
Object or substance involved
FLOOR
Summary line
Fracture Right Ankle Fall on same level FLOOR
Employee and industry
- Job description
- PRODUCE CLERK
- SOC code
- 53-7065 — Stockers and Order Fillers
- 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 #
- 879978
When (timing detail)
- Date of incident
- Shift started
- 5:00
- Time of incident
- 8:30
- 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.