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
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 29
Before the incident
table
What happened
Slipped and hit rm on table results in shoulder pain
Injury or illness
Strain Sprain Shoulder
Object or substance involved
Rack
Summary line
Strain Sprain Shoulder Struck Against a Fixed Object Rack
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 #
- SX14903
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 14:00
- 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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