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 sUP HOURLY 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
- PRODUCE
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
- Days restricted or transferred
- 4
Before the incident
Hanging signs
What happened
Employee was hanging a sign using ladder over missed a step and fell
Injury or illness
Strain Sprain Back Lower Left Side
Object or substance involved
Ladder Stepstool
Summary line
Strain Sprain Back Lower Left Side Fall from Different Level Ladder Stepstool
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 399
- Total hours worked
- 608225
- EIN
- 911223280
- Establishment ID
- 1217172
- Employer case #
- WC608G5575
When (timing detail)
- Date of incident
- Shift started
- 3:00:00.000
- Time of incident
- 10:46:00.000
- 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.