BEND, OR ·
OSHA Injury Report: 0101 - BEND OR
Injury · Job transfer or restriction
At a glance
On , an injury at 0101 - BEND OR in 2500 NE HIGHWAY 20, BEND, OR 84115 resulted in job transfer or restriction. Employee was MGR dept 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
- BAKERY
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 76
Before the incident
Leaving to head home employee started feeling pain at home
What happened
Started feeling pain and started to lose range of motion overuse injury
Injury or illness
Inflammation swelling Shoulder Right Side
Object or substance involved
Bakery Mixer
Summary line
Inflammation swelling Shoulder Right Side Repetitive Motion Bakery Mixer
Employee and industry
- Job description
- MGR DEPT
- SOC code
- 41-1012: First-Line Supervisors of Non-Retail Sales 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 #
- WC608G7480
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- 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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