MOUNTLAKE TERRACE, WA ·
OSHA Injury Report: ABS-0027-0026-00414 FAC-00414-MOUNTLAKE TERRACE-WA
Injury · Other recordable case
At a glance
On , an injury at ABS-0027-0026-00414 FAC-00414-MOUNTLAKE TERRACE-WA in 4301 212TH STREET SW, MOUNTLAKE TERRACE, WA 98043 resulted in other recordable case. Employee was food Clerk Re in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- ABS-0027-0026-00414 FAC-00414-MOUNTLAKE TERRACE-WA
- Parent company
- Albertsons LLC
- Street
- 4301 212TH STREET SW
- City
- MOUNTLAKE TERRACE
- State
- WA
- ZIP
- 98043
- On-site location
- IN THE STORE
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
[REDACTED] SORT
What happened
Employee says they were breaking down a pallet and threw their back out
Injury or illness
Sprained Left Upper back Strained Freight
Object or substance involved
Freight
Summary line
Employee says they were breaking down a pallet and threw their back out
Employee and industry
- Job description
- Food Clerk Re
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 122
- Hours worked at this establishment (2025 total)
- 162,971
- EIN
- 820184434
- Establishment ID
- 1140375
- Employer case #
- 76598
When (timing detail)
- Date of incident
- Shift started
- 05:00
- Time of incident
- 07:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-21
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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