Portland, OR —
OSHA Injury Report: Foodservice Pacific NW - 1017
Injury · Other recordable case
At a glance
On , an injury at Foodservice Pacific NW - 1017 in Portland, OR 97230 resulted in other recordable case. Employee was driver Non CDL.
Where did this happen?
- Establishment
- Foodservice Pacific NW - 1017
- Street
- 19606 NE San Rafael St
- City
- Portland
- State
- OR
- ZIP
- 97230
- On-site location
- Tony s Big Cheese Front door
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
[REDACTED] by [REDACTED]
What happened
Driver states he felt a minor strain to his elbow on [REDACTED] [REDACTED] while delivering to a customer s location He said at the time he did not feel any severe pain On [REDACTED] he said he began feeling sharp pain and visited urgent care facility on [REDACTED]
Injury or illness
Cause Strain or Injury By Body Part Elbow Body Part Position Right Detail Cause Strain Injury by Misc
Object or substance involved
Food Product
Summary line
Cause Strain or Injury By Body Part Elbow Body Part Position Right Detail Cause Strain Injury by [REDACTED]
Employee and industry
- Job description
- Driver Non CDL
- SOC code
- 9999 — Uncoded
- NAICS code
- 424410
- NAICS vintage
- 2012
- Avg employees
- 154
- Total hours worked
- 320359
- EIN
- 840629503
- Establishment ID
- 205907
- Employer case #
- 1201WC2503
When (timing detail)
- Date of incident
- Shift started
- 22:01
- Time of incident
- 2:00
- Filing year
- 2024
- Submitted
- 28FEB2025:16:50:00
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.