Roseburg, OR —
OSHA Injury Report: 1073 ROSEBURG OR WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 1073 ROSEBURG OR WHSE in Roseburg, OR 97470 resulted in job transfer or restriction. Employee was tIRE INSTALLER in wholesale Grocer.
Where did this happen?
- Establishment
- 1073 ROSEBURG OR WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 4141 NE Stephens
- City
- Roseburg
- State
- OR
- ZIP
- 97470
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 84
Before the incident
Mounting wheel
What happened
I was reinstalling mounting a wheel back on a vehicle lifted wheel to hub and felt a pop in shoulder
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Tire
Summary line
Strain Sprain Shoulder Right Side Lifting Tire
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 49-3093 — Tire Repairers and Changers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 263
- Total hours worked
- 362378
- EIN
- 911223280
- Establishment ID
- 1378734
- Employer case #
- WC608P116
When (timing detail)
- Date of incident
- Shift started
- 15:30
- Time of incident
- 14:00
- Filing year
- 2025
- Submitted
- 28FEB26:00:32:00
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.