Vancouver, WA —
OSHA Injury Report: 1120 - NSM Main Street
Injury · Other recordable case
At a glance
On , an injury at 1120 - NSM Main Street in Vancouver, WA 98660 resulted in other recordable case. Employee was cook in grocery stores.
Where did this happen?
- Establishment
- 1120 - NSM Main Street
- Parent company
- New Seasons Market, LLC
- Street
- 1506 Main Street
- City
- Vancouver
- State
- WA
- ZIP
- 98660
- On-site location
- prepared foods kitchen prep table next to roti chicken oven
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
mopping up spill in kitchen
What happened
employee tripped on anti-fatigue mat and struck forehead on metal prep table and mop handle
Injury or illness
concussion without LOC
Object or substance involved
anti-fatigue mat caused trip metal prep table and mop handle caused concussion
Summary line
tripped on anti-fatigue mat while mopping and struck head against prep table and mop handle resulting in contusion to left side of face
Employee and industry
- Job description
- cook
- SOC code
- 35-2021 — Food Preparation Workers
- NAICS code
- 445110 — Grocery stores
- NAICS vintage
- 2022
- Avg employees
- 124
- Total hours worked
- 203101
- EIN
- 271519644
- Establishment ID
- 1109282
- Employer case #
- 4
When (timing detail)
- Date of incident
- Shift started
- 13:00
- Time of incident
- 13:30
- Filing year
- 2024
- Submitted
- 02MAR2025:04:26:00
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.