ISSAQUAH, WA ·
OSHA Injury Report: 0110 - ISSAQUAH WA
Injury · Job transfer or restriction
At a glance
On , an injury at 0110 - ISSAQUAH WA in 1801 10TH AVENUE NORTHWEST, ISSAQUAH, WA 91362 resulted in job transfer or restriction. Employee was GAS station attd 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
- GAS STATION
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 18
Before the incident
Changing filters
What happened
EE was changing gas filters and felt a pinch in his upper back It has persisted
Injury or illness
Strain Sprain Back Upper Right and Left Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Strain Sprain Back Upper Right and Left Side Reaching Tool Equipment Unclassified
Employee and industry
- Job description
- GAS STATION ATTD
- SOC code
- 9999: Uncoded
- 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 #
- SY63588
When (timing detail)
- Date of incident
- Shift started
- 05:00
- Time of incident
- 08:00
- 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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