BEND, OR ·
OSHA Injury Report: 0101 - BEND OR
Injury · Days away from work
At a glance
On , an injury at 0101 - BEND OR in 2500 NE HIGHWAY 20, BEND, OR 84115 resulted in days away from work. Employee was forklift driver in wholesale Grocer.
Where did this happen?
- Establishment
- 0101 - BEND OR
- Parent company
- Costco Wholesale
- Street
- 2500 NE HIGHWAY 20
- City
- BEND
- State
- OR
- ZIP
- 84115
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 123
- Days restricted or transferred
- 84
Before the incident
Tire Changeover
What happened
When lifting the driver front tire EE felt popping in right shoulde
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Tire
Summary line
Strain Sprain Shoulder Right Side Lifting Tire
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051: Industrial Truck and Tractor Operators
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 382
- Hours worked at this establishment (2023 total)
- 556,334
- EIN
- 911223280
- Establishment ID
- 1217376
- Employer case #
- WC608G4213
When (timing detail)
- Date of incident
- Shift started
- 04:00
- Time of incident
- 11:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 0101 - Bend or
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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