CLACKAMAS, OR —
OSHA Injury Report: 0097 CLACKAMAS OR WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0097 CLACKAMAS OR WHSE in CLACKAMAS, OR 97015 resulted in job transfer or restriction. Employee was mGR DEPT in wholesale Grocer.
Where did this happen?
- Establishment
- 0097 CLACKAMAS OR WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 13130 SW 84TH AVENUE
- City
- CLACKAMAS
- State
- OR
- ZIP
- 97015
- On-site location
- INSIDE UNCLASSIFIED
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 72
Before the incident
Pulling pallet strap
What happened
Pulling strap from pallet
Injury or illness
Strain Sprain Shoulder Left Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Strain Sprain Shoulder Left Side Pulling Tool Equipment Unclassified
Employee and industry
- Job description
- MGR DEPT
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 493
- Total hours worked
- 727982
- EIN
- 911223280
- Establishment ID
- 1378310
- Employer case #
- WC608P133
When (timing detail)
- Date of incident
- Shift started
- 2:00
- Time of incident
- 7:10
- Filing year
- 2025
- Submitted
- 28FEB26:00:31:00
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.