BEND, OR ·
OSHA Injury Report: 0101 BEND OR WHSE
Injury · Days away from work
At a glance
On , an injury at 0101 BEND OR WHSE in 2500 NE HIGHWAY 20, BEND, OR 97701 resulted in days away from work. Employee was optician LIC in wholesale Grocer.
Where did this happen?
- Establishment
- 0101 BEND OR WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 2500 NE HIGHWAY 20
- City
- BEND
- State
- OR
- ZIP
- 97701
- On-site location
- OPTICAL
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 6
Before the incident
Optician duties
What happened
EE tripped on a mat with a lip and fell into the optical counter hitting her back
Injury or illness
Strain Sprain Ankle Right Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Ankle Right Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- OPTICIAN LIC
- SOC code
- 9999: Uncoded
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 301
- Hours worked at this establishment (2024 total)
- 483,457
- EIN
- 911223280
- Establishment ID
- 1378311
- Employer case #
- WC608G8089
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at 0101 Bend 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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