TIGARD, OR ·
OSHA Injury Report: 0111 - TIGARD OR
Injury · Days away from work
At a glance
On , an injury at 0111 - TIGARD OR in 7850 SW DARTMOUTH ST, 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
- Employees at this establishment (2023 average)
- 399
- Hours worked at this establishment (2023 total)
- 608,225
- EIN
- 911223280
- Establishment ID
- 1217172
- Employer case #
- WC608G7592
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
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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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