TIGARD, OR —
OSHA Injury Report: 0111 - TIGARD OR
Injury · Days away from work
At a glance
On , an injury at 0111 - TIGARD OR in TIGARD, OR 94577 resulted in days away from work. Employee was rTV CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 0111 - TIGARD OR
- Parent company
- Costco Wholesale
- Street
- 7850 SW DARTMOUTH ST
- City
- TIGARD
- State
- OR
- ZIP
- 94577
- On-site location
- RECEIVING
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
- Days restricted or transferred
- 44
Before the incident
down stacking a pallet
What happened
down stacking pallet fell over and landed on left foot
Injury or illness
Bruise or Contusion Foot Left Side
Object or substance involved
Pallet
Summary line
Bruise or Contusion Foot Left Side Struck by a Moving Object Pallet
Employee and industry
- Job description
- RTV CLERK
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 399
- Total hours worked
- 608225
- EIN
- 911223280
- Establishment ID
- 1217172
- Employer case #
- WC608G4719
When (timing detail)
- Date of incident
- Shift started
- 10:51:00.000
- Time of incident
- 15:30:00.000
- 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.