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 13130 SW 84TH AVENUE, CLACKAMAS, OR 97015 resulted in job transfer or restriction. Employee was cashier asst 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
- FRONT END
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 38
Before the incident
talking to member
What happened
EE turned to walk left but head was turned right tripped on EE on the ground cleaning floor
Injury or illness
Bruise or Contusion Knee Left Side
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Knee Left Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- CASHIER ASST
- SOC code
- 41-2011: Cashiers
- 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 #
- WC608H917
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 12:35
- 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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