WILSONVILLE, OR —
OSHA Injury Report: 0766 WILSONVILLE OR WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0766 WILSONVILLE OR WHSE in WILSONVILLE, OR 97070 resulted in job transfer or restriction. Employee was sERVICE DELI CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 0766 WILSONVILLE OR WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 25900 SOUTHWEST HEATHER PLACE
- City
- WILSONVILLE
- State
- OR
- ZIP
- 97070
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 19
Before the incident
Working in chicken room
What happened
Slipped and fell in chicken room grabbed sink to try and break his fall
Injury or illness
Strain Sprain Shoulder Left Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Shoulder Left Side Walking Floor Walking Surface
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 335
- Total hours worked
- 507842
- EIN
- 911223280
- Establishment ID
- 1378649
- Employer case #
- WC608H5031
When (timing detail)
- Date of incident
- Shift started
- 9:00
- Time of incident
- 17:30
- Filing year
- 2024
- Submitted
- 28FEB2025:21:43:00
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.