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 sERVICE DELI CLERK 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
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 65
Before the incident
Getting product for production EE reported injury date to supervisor during reporting as [REDACTED] Then reported [REDACTED] to workcare and the DR
What happened
Twisted while trying to lift in the deli cooler between the rolling racks and cooler steel
Injury or illness
Strain Sprain Back Lower Left Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Strain Sprain Back Lower Left Side Twisted Tool Equipment Unclassified
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 493
- Total hours worked
- 727982
- EIN
- 911223280
- Establishment ID
- 1378310
- Employer case #
- WC608H760
When (timing detail)
- Date of incident
- Shift started
- 7:00
- 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.