BEND, OR —
OSHA Injury Report: 0101 - BEND OR
Injury · Days away from work
At a glance
On , an injury at 0101 - BEND OR in 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
- Avg employees
- 382
- Total hours worked
- 556334
- EIN
- 911223280
- Establishment ID
- 1217376
- Employer case #
- WC608G7504
When (timing detail)
- Date of incident
- Shift started
- 10:30:00.000
- Time of incident
- 18:00:00.000
- Submitted
- 04MAR24:19:23:00
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.