Roseburg, OR —
OSHA Injury Report: 1073 - ROSEBURG OR
Injury · Job transfer or restriction
At a glance
On , an injury at 1073 - ROSEBURG OR in Roseburg, OR 49006 resulted in job transfer or restriction. Employee was fORKLIFT DRIVER in wholesale Grocer.
Where did this happen?
- Establishment
- 1073 - ROSEBURG OR
- Parent company
- Costco Wholesale
- Street
- 4141 NE Stephens
- City
- Roseburg
- State
- OR
- ZIP
- 49006
- On-site location
- FOOD AND SUNDRY
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 14
Before the incident
pulling on shrink wrap
What happened
The employee was pulling on shrink wrap and it gave way causing the employee to fall injuring his left wrist
Injury or illness
Bruise or Contusion Wrist Left Side
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Wrist Left Side Fall from Different Level Floor Walking Surface
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051 — Industrial Truck and Tractor Operators
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 232
- Total hours worked
- 328316
- EIN
- 911223280
- Establishment ID
- 1217647
- Employer case #
- WC608G4212
When (timing detail)
- Date of incident
- Shift started
- 4:00:00.000
- Time of incident
- 8:45:00.000
- Submitted
- 04MAR24:19:25:00
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.