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 fORKLIFT DRIVER 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
Before the incident
forklift driving and stocking
What happened
Repetitive stocking of toilet paper and paper towels
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Shoulder Right Side Object Handled Merchandise
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051 — Industrial Truck and Tractor Operators
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 399
- Total hours worked
- 608225
- EIN
- 911223280
- Establishment ID
- 1217172
- Employer case #
- WC608G7592
When (timing detail)
- Date of incident
- Shift started
- 3:30:00.000
- 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.