Union, WA —
OSHA Injury Report: North Forty Lodging LLC
Injury · Days away from work
At a glance
On , an injury at North Forty Lodging LLC in Union, WA 98592 resulted in days away from work. Employee was kitchen Supervisor in hotels (except casino hotels) with golf courses, tennis courts, and/or other health spa facilities (i.e., resorts).
Where did this happen?
- Establishment
- North Forty Lodging LLC
- Parent company
- North Forty Lodging LLC
- Street
- PO Box 609
- City
- Union
- State
- WA
- ZIP
- 98592
- On-site location
- walk-in refrigerator / main kitchen
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
moving items in the walk-in refrigerator
What happened
he was moving a hotel pan and clipped the corner on a shelf sending the hotel pan int o his right hip
Injury or illness
rib hip contusion
Object or substance involved
hotel pan with food
Summary line
rib hip contusion
Employee and industry
- Job description
- Kitchen Supervisor
- SOC code
- 35-1012 — First-Line Supervisors of Food Preparation and Serving Workers
- NAICS code
- 721110 — Hotels (except casino hotels) with golf courses, tennis courts, and/or other health spa facilities (i.e., resorts)
- NAICS vintage
- 2012
- Avg employees
- 226
- Total hours worked
- 306650
- EIN
- 912155756
- Establishment ID
- 498961
- Employer case #
- 23
When (timing detail)
- Date of incident
- Shift started
- 12:28
- Time of incident
- 16:00
- Filing year
- 2025
- Submitted
- 19FEB26:21:02:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.