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 food 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
- FOOD COURT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 14
Before the incident
Filling cutlery and soda lids and napkins in the food court
What happened
slip and fall in food court 2 knees sort chest sore walking by the soda machine and knees buckled went flat to the ground
Injury or illness
Bruise or Contusion Chest
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Chest Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 35-2019: Cooks, All Other
- 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 #
- WC608H693
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 12:15
- 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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