SEQUIM, WA —
OSHA Injury Report: 0639 SEQUIM WA WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0639 SEQUIM WA WHSE in SEQUIM, WA 98382 resulted in job transfer or restriction. Employee was mGR DEPT in wholesale Grocer.
Where did this happen?
- Establishment
- 0639 SEQUIM WA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 955 WEST WASHINGTON STREET
- City
- SEQUIM
- State
- WA
- ZIP
- 98382
- On-site location
- 301 aisle
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 50
Before the incident
Installing Steel
What happened
Was installing a orange load beam avove head released from support and pulled extended left arm behind head
Injury or illness
Strain Sprain Shoulder Left Side
Object or substance involved
Steel Load Beams
Summary line
Strain Sprain Shoulder Left Side Fall from Different Level Steel Load Beams
Employee and industry
- Job description
- MGR DEPT
- SOC code
- 41-1012 — First-Line Supervisors of Non-Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 227
- Total hours worked
- 333113
- EIN
- 911223280
- Establishment ID
- 1378569
- Employer case #
- WC608H5479
When (timing detail)
- Date of incident
- Shift started
- 3:55
- Time of incident
- 6:30
- Filing year
- 2024
- Submitted
- 28FEB2025:21:42:00
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.