ISSAQUAH, WA —
OSHA Injury Report: 0110 - ISSAQUAH WA
Injury · Days away from work
At a glance
On , an injury at 0110 - ISSAQUAH WA in ISSAQUAH, WA 91362 resulted in days away from work. Employee was sERVICE DELI CLERK 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
- SERVICE DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 5
- Days restricted or transferred
- 1
Before the incident
Lifting
What happened
EE failed to fill out B and B
Injury or illness
Strain Sprain Back Upper Right Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Strain Sprain Back Lower Right Side Lifting Tool Equipment Unclassified
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
- Avg employees
- 496
- Total hours worked
- 762276
- EIN
- 911223280
- Establishment ID
- 1217292
- Employer case #
- SY63569
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- 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.