CLARKSTON, WA ·
OSHA Injury Report: 0103 - CLARKSTON WA
Injury · Days away from work
At a glance
On , an injury at 0103 - CLARKSTON WA in 301 FIFTH STREET, CLARKSTON, WA 98208 resulted in days away from work. Employee was member service in wholesale Grocer.
Where did this happen?
- Establishment
- 0103 - CLARKSTON WA
- Parent company
- Costco Wholesale
- Street
- 301 FIFTH STREET
- City
- CLARKSTON
- State
- WA
- ZIP
- 98208
- On-site location
- VESTIBULE ENTRANCE EXIT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
Before the incident
Checking member s receipts at the door
What happened
Slipped on anti fatigue mat and fell and heat head and hip
Injury or illness
Concussion Head Right Side
Object or substance involved
Maintenance Housekeeping
Summary line
Concussion Head Right Side Fall from Same Level Maintenance Housekeeping
Employee and industry
- Job description
- MEMBER SERVICE
- SOC code
- 9999: Uncoded
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 233
- Hours worked at this establishment (2023 total)
- 348,755
- EIN
- 911223280
- Establishment ID
- 1217062
- Employer case #
- SX14718
When (timing detail)
- Date of incident
- Shift started
- 09:15
- Time of incident
- 14:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 0103 - Clarkston WA
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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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