Covington, WA —
OSHA Injury Report: 701-00053
Injury · Days away from work
At a glance
On , an injury at 701-00053 in Covington, WA 98042 resulted in days away from work. Employee was coffee Shop Cle in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- 701-00053
- Parent company
- Fred Meyer Stores Inc
- Street
- 16735 Se 272Nd St
- City
- Covington
- State
- WA
- ZIP
- 98042
- On-site location
- BATHROOM
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
Before the incident
REACHING FOR GARBAGE BAGS
What happened
EE WAS WASHING HIS HANDS AT SINK HE SQUATED DOWN TO GRAB GARBAGE BAGS HE HIT HIS FOREHEAD ON THE METAL DIVIDER LACERATION ON TOP OF HIS FOREHEAD PLUS CONCUSSION
Injury or illness
Concussion Posterior Brain Hand tool METAL DIVIDER
Object or substance involved
METAL DIVIDER
Summary line
Concussion Posterior Brain Hand tool METAL DIVIDER
Employee and industry
- Job description
- Coffee Shop Cle
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2022
- Avg employees
- 276
- Total hours worked
- 372697
- EIN
- 930798201
- Establishment ID
- 966796
- Employer case #
- 855799
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 11:15:00.000
- 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.