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 service deli clerk 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
- SERVICE DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 52
Before the incident
walking thru the chicken room to leave the dept for break
What happened
Walking thru the chicken room and stepped on chicken particle and puddle of grease Slipped and fell on my back
Injury or illness
Bruise or Contusion Back Lower Right Side
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Back Lower Right Side Fall from liquid spill or grease Floor Walking Surface
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023: Fast Food and Counter Workers
- 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 #
- WC608G7504
When (timing detail)
- Date of incident
- Shift started
- 10:30
- Time of incident
- 18:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 0101 - Bend or
View 0101 - Bend or's full OSHA safety record →
More injuries in this industry (NAICS 455211)
More injuries in OR
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.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.