CLACKAMAS, OR —
OSHA Injury Report: 0097 CLACKAMAS OR WHSE
Injury · Days away from work
At a glance
On , an injury at 0097 CLACKAMAS OR WHSE in CLACKAMAS, OR 97015 resulted in days away from work. Employee was mGR STAFF 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
- HARDLINES
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 39
- Days restricted or transferred
- 141
Before the incident
stocking items before the warehouse opened
What happened
lifting mini frig with arm extended felt a loud pop in elbow RIght arm from forearm to shoulder pain
Injury or illness
Strain Sprain Arm Right Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Arm Right Side Lifting Merchandise
Employee and industry
- Job description
- MGR STAFF
- 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 #
- WC608H666
When (timing detail)
- Date of incident
- Shift started
- 2:00
- Time of incident
- 3:00
- 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.