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 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
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 34
Before the incident
Working the pizza oven in the food court
What happened
Loading items to and from the pizza oven lifting trays floor condition was good
Injury or illness
Strain Sprain Back Lower Left Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Back Lower Left Side Object Handled Merchandise
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 #
- WC608H679
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 18:00
- 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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