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 stocker 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
- FRONT END
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
Before the incident
Walking into the building to start a work shift
What happened
EE was walking into the building across the front end and tripped and hit his head He also hit his R elbow and knee
Injury or illness
Laceration Forehead Right Side
Object or substance involved
Floor Walking Surface
Summary line
Laceration Forehead Right Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- STOCKER
- SOC code
- 53-7065: Stockers and Order Fillers
- 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 #
- SX14977
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 11:41
- 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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