EVERETT, WA ·
OSHA Injury Report: 0114 EVERETT WA WHSE
Injury · Other recordable case
At a glance
On , an injury at 0114 EVERETT WA WHSE in 10200 19TH AVENUE SE, EVERETT, WA 98208 resulted in other recordable case. Employee was food service in wholesale Grocer.
Where did this happen?
- Establishment
- 0114 EVERETT WA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 10200 19TH AVENUE SE
- City
- EVERETT
- State
- WA
- ZIP
- 98208
- On-site location
- FOOD COURT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
helping a member with order
What happened
handing a member a pizza and spun around to get an ice cream hit elbow on table
Injury or illness
Laceration Elbow Right Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Laceration Elbow Right Side Struck Against a Fixed Object Tool Equipment Unclassified
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)
- 325
- Hours worked at this establishment (2025 total)
- 480,987
- EIN
- 911223280
- Establishment ID
- 1378319
- Employer case #
- WC608H687
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 15:30
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-28
More injuries at 0114 Everett WA 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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