Brookings, OR —
OSHA Injury Report: 701-00030
Injury · Days away from work
At a glance
On , an injury at 701-00030 in Brookings, OR 97415 resulted in days away from work. Employee was fuel Clerks in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- 701-00030
- Parent company
- Fred Meyer Stores Inc
- Street
- 325 5Th St
- City
- Brookings
- State
- OR
- ZIP
- 97415
- On-site location
- FUEL CENTER AT PUMP
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 44
- Days restricted or transferred
- 24
Before the incident
REACHING HOSE OVER A VEHICLE TO PUMP FUEL
What happened
EE WAS FUELING A PICK UP TRUCK AND HE WENT TO USE THE HOSE AND REACH OVER HE HAD HEARD A POP IN HIS LT SHOULDER INJURIES LT SHOULDER IS IN PAIN
Injury or illness
Strained Left Shoulders Reaching SELF
Object or substance involved
SELF
Summary line
Strained Left Shoulder Reaching SELF
Employee and industry
- Job description
- Fuel Clerks
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2022
- Avg employees
- 296
- Total hours worked
- 374371
- EIN
- 930798201
- Establishment ID
- 966789
- Employer case #
- 852703
When (timing detail)
- Date of incident
- Shift started
- 13:00:00.000
- Time of incident
- 15:30:00.000
- Submitted
- 28FEB24:18:47:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.