ISSAQUAH, WA ·
OSHA Injury Report: 0110 - ISSAQUAH WA
Injury · Days away from work
At a glance
On , an injury at 0110 - ISSAQUAH WA in 1801 10TH AVENUE NORTHWEST, ISSAQUAH, WA 91362 resulted in days away from work. Employee was bakery wrapper in wholesale Grocer.
Where did this happen?
- Establishment
- 0110 - ISSAQUAH WA
- Parent company
- Costco Wholesale
- Street
- 1801 10TH AVENUE NORTHWEST
- City
- ISSAQUAH
- State
- WA
- ZIP
- 91362
- On-site location
- BAKERY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 25
- Days restricted or transferred
- 15
Before the incident
Walking and carrying a cake
What happened
Lost footing in the bakery while carrying a cake fellon a mixing bowl [REDACTED]
Injury or illness
Bruise or Contusion Rib Left Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Bruise or Contusion Rib Left Side Fall from Same Level Tool Equipment Unclassified
Employee and industry
- Job description
- BAKERY WRAPPER
- SOC code
- 53-7064: Packers and Packagers, Hand
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 496
- Hours worked at this establishment (2023 total)
- 762,276
- EIN
- 911223280
- Establishment ID
- 1217292
- Employer case #
- SX14998
When (timing detail)
- Date of incident
- Shift started
- 08:30
- Time of incident
- 12:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 0110 - Issaquah 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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