SEATTLE, WA ·
OSHA Injury Report: 0106 - AURORA VILLAGE WA
Injury · Job transfer or restriction
At a glance
On , an injury at 0106 - AURORA VILLAGE WA in 1175 N 205TH STREET, SEATTLE, WA 98036 resulted in job transfer or restriction. Employee was service deli clerk in wholesale Grocer.
Where did this happen?
- Establishment
- 0106 - AURORA VILLAGE WA
- Parent company
- Costco Wholesale
- Street
- 1175 N 205TH STREET
- City
- SEATTLE
- State
- WA
- ZIP
- 98036
- On-site location
- RECEIVING
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 10
Before the incident
Stocking bottom shelf
What happened
While stocking the bottom shelf of supplies back on the dock [REDACTED] hit his head on a steel beam very hard
Injury or illness
Bruise or Contusion Head
Object or substance involved
Steel Load Beams
Summary line
Bruise or Contusion Head Struck Against a Fixed Object Steel Load Beams
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)
- 455
- Hours worked at this establishment (2023 total)
- 657,620
- EIN
- 911223280
- Establishment ID
- 1217072
- Employer case #
- SX14851
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 09:35
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 0106 - Aurora Village 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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