Lacey, WA —
OSHA Injury Report: Lacey #102
Injury · Other recordable case
At a glance
On , an injury at Lacey #102 in Lacey, WA 985165657 resulted in other recordable case. Employee was cLERK in store.
Where did this happen?
- Establishment
- Lacey #102
- Parent company
- WINCO FOODS
- Street
- 7540 Martin Way East
- City
- Lacey
- State
- WA
- ZIP
- 985165657
- On-site location
- BEHIND SERVICE COUNTER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Cleaning Wiping Down Walking
What happened
Taking stage out sheets to office. Just finished cleaning floors took step forward foot slipped out. Fell backwards on floor hit head.
Injury or illness
Slip Trip and Fall : On Liquid BACK OF HEAD
Object or substance involved
wet floor
Summary line
Slip Trip and Fall : On Liquid BACK OF HEAD
Employee and industry
- Job description
- CLERK
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Store
- NAICS vintage
- 2012
- Avg employees
- 151
- Total hours worked
- 228079
- EIN
- 200602784
- Establishment ID
- 185277
- Employer case #
- 113229
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 10:50
- Filing year
- 2025
- Submitted
- 01MAR26:20:46:00
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.