SILVERDALE, WA ·
OSHA Injury Report: 0013 SILVERDALE WA WHSE
Injury · Days away from work
At a glance
On , an injury at 0013 SILVERDALE WA WHSE in 10000 MICKELBERRY RD NW, SILVERDALE, WA 98383 resulted in days away from work. Employee was maintenance asst in wholesale Grocer.
Where did this happen?
- Establishment
- 0013 SILVERDALE WA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 10000 MICKELBERRY RD NW
- City
- SILVERDALE
- State
- WA
- ZIP
- 98383
- On-site location
- RESTROOMS
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 20
Before the incident
cleaning floor
What happened
cleaning bathroom floor layed dow wax slipped and fell briefly lost conciousness woke up no feeling in arms legs
Injury or illness
Concussion Head Right and Left Side
Object or substance involved
Floor Walking Surface
Summary line
Concussion Head Right and Left Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- MAINTENANCE ASST
- SOC code
- 37-2011: Janitors and Cleaners, Except Maids and Housekeeping Cleaners
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 370
- Hours worked at this establishment (2025 total)
- 550,215
- EIN
- 911223280
- Establishment ID
- 1378291
- Employer case #
- WC608H757
When (timing detail)
- Date of incident
- Shift started
- 04:01
- Time of incident
- 04:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-28
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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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