SEQUIM, WA —
OSHA Injury Report: 0639 SEQUIM WA WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0639 SEQUIM WA WHSE in SEQUIM, WA 98382 resulted in job transfer or restriction. Employee was fOOD SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 0639 SEQUIM WA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 955 WEST WASHINGTON STREET
- City
- SEQUIM
- State
- WA
- ZIP
- 98382
- On-site location
- FOOD COURT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 32
Before the incident
Leaning on the edge of the ice cream machine
What happened
Setting up ice cream machine leaned over on it and felt a pop near ribs causing pain
Injury or illness
Inflammation swelling Abdomen Left Side
Object or substance involved
Medical Condition Idiopathic
Summary line
Inflammation swelling Abdomen Left Side Medical Condition Idiopathic Medical Condition Idiopathic
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 35-2019 — Cooks, All Other
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 240
- Total hours worked
- 345705
- EIN
- 911223280
- Establishment ID
- 1378569
- Employer case #
- WC608P048
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 8:30
- 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.