EVERETT, WA ·
OSHA Injury Report: 0114 EVERETT WA WHSE
Injury · Days away from work
At a glance
On , an injury at 0114 EVERETT WA WHSE in 10200 19TH AVENUE SE, EVERETT, WA 98208 resulted in days away from work. Employee was forklift driver in wholesale Grocer.
Where did this happen?
- Establishment
- 0114 EVERETT WA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 10200 19TH AVENUE SE
- City
- EVERETT
- State
- WA
- ZIP
- 98208
- On-site location
- WALK IN FREEZER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 72
Before the incident
Stocking
What happened
Walked into side of forklift Forklift ran over foot Two toes were severed
Injury or illness
Amputation Foot Right Side
Object or substance involved
Forklift
Summary line
Amputation Foot Right Side Caught Under Forklift
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051: Industrial Truck and Tractor Operators
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 330
- Hours worked at this establishment (2024 total)
- 473,756
- EIN
- 911223280
- Establishment ID
- 1378319
- Employer case #
- WC608H4410
When (timing detail)
- Date of incident
- Shift started
- 04:00
- Time of incident
- 08:00
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at 0114 Everett WA 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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