Lacey, WA ·
OSHA Injury Report: Lacey #102
Injury · Job transfer or restriction
At a glance
On , an injury at Lacey #102 in 7540 Martin Way East, Lacey, WA 985165657 resulted in job transfer or restriction. 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
- BACKROOM
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 64
Before the incident
Cleaning Wiping Down Walking
What happened
Carrying bucket to laundry room. Slipped and fell backwards on wet spot. Landed on left arm.
Injury or illness
Slip Trip and Fall : On Liquid LEFT ARM
Object or substance involved
Wet spot on floor
Summary line
Slip Trip and Fall : On Liquid LEFT ARM
Employee and industry
- Job description
- CLERK
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 445110: Store
- NAICS vintage
- 2012
- Employees at this establishment (2025 average)
- 151
- Hours worked at this establishment (2025 total)
- 228,079
- EIN
- 200602784
- Establishment ID
- 185277
- Employer case #
- 112363
When (timing detail)
- Date of incident
- Shift started
- 13:30
- Time of incident
- 10:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-03-01
More injuries at Lacey #102
View Lacey #102's full OSHA safety record →
More injuries in this industry (NAICS 445110)
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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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