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 13130 SW 84TH AVENUE, CLACKAMAS, OR 97015 resulted in days away from work. Employee was member service 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
- MEAT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 30
Before the incident
walking
What happened
On floor walk walking through [REDACTED] to take temps and slipped on fell on floor
Injury or illness
Bruise or Contusion Back Lower Right Side
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Back Lower Right Side Fall from liquid spill or grease Floor Walking Surface
Employee and industry
- Job description
- MEMBER SERVICE
- SOC code
- 00-9900: Insufficient Information - NIOSH
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 493
- Hours worked at this establishment (2025 total)
- 727,982
- EIN
- 911223280
- Establishment ID
- 1378310
- Employer case #
- WC608H914
When (timing detail)
- Date of incident
- Shift started
- 03:45
- Time of incident
- 10:30
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-28
More injuries at 0097 Clackamas or Whse
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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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