Everett, WA —
OSHA Injury Report: 701-00095
Injury · Death
At a glance
On , an injury at 701-00095 in Everett, WA 98208 resulted in death. Employee was courtesy Clerks in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- 701-00095
- Parent company
- Fred Meyer Stores Inc
- Street
- 8530 Evergreen Way
- City
- Everett
- State
- WA
- ZIP
- 98208
- On-site location
- BREAK ROOM
What was the outcome?
- Outcome
- Death (code 1)
- Type
- Injury (code 1)
- Date of death
Before the incident
ON BREAK
What happened
EE COMPLAINED ABOUT BACK SHOULDER RIGHT ARM PAIN EMS WAS CALLED MEDICS PROVIDED CPR THE DEFIBULATOR EFFORTS TO REVIVE WERE NOT SUCCESSFUL
Injury or illness
Death Anterior Trunk Cumulative SELF
Object or substance involved
SELF
Summary line
Death Anterior Trunk Cumulative SELF
Employee and industry
- Job description
- Courtesy Clerks
- SOC code
- 53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 455211 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2022
- Avg employees
- 226
- Total hours worked
- 306169
- EIN
- 930798201
- Establishment ID
- 966804
- Employer case #
- 849580
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 13:00:00.000
- 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.