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 tire installer 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
- TIRE SHOP
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
- Days restricted or transferred
- 6
Before the incident
putting a run flat on the mounter
What happened
Hit knee on short mounter piece trying to secure run flat to mounter
Injury or illness
Laceration Knee Left Side
Object or substance involved
Tire Changer
Summary line
Laceration Knee Left Side Caught by Fixed Object Tire Changer
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 49-3093: Tire Repairers and Changers
- 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 #
- SY63538
When (timing detail)
- Date of incident
- Shift started
- 09:30
- Time of incident
- 13:19
- 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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