CLACKAMAS, OR ·
OSHA Injury Report: 0097 CLACKAMAS OR WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0097 CLACKAMAS OR WHSE in 13130 SW 84TH AVENUE, CLACKAMAS, OR 97015 resulted in job transfer or restriction. Employee was cashier asst in wholesale Grocer.
Where did this happen?
- Establishment
- 0097 CLACKAMAS OR WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 13130 SW 84TH AVENUE
- City
- CLACKAMAS
- State
- OR
- ZIP
- 97015
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 46
Before the incident
Leaving work for the evening and was reaching for a piece of candy on the promo table
What happened
I was walking out at end of shift my foot caught on the table cloth of the promo table and I rolled my ankle
Injury or illness
Strain Sprain Ankle Left Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Strain Sprain Ankle Left Side Stepped In On or Off Tool Equipment Unclassified
Employee and industry
- Job description
- CASHIER ASST
- SOC code
- 41-2011: Cashiers
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 477
- Hours worked at this establishment (2024 total)
- 726,149
- EIN
- 911223280
- Establishment ID
- 1378310
- Employer case #
- WC608H4982
When (timing detail)
- Date of incident
- Shift started
- 15:00
- Time of incident
- 21:30
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at 0097 Clackamas or Whse
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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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