TIGARD, OR ·
OSHA Injury Report: 0111 - TIGARD OR
Injury · Job transfer or restriction
At a glance
On , an injury at 0111 - TIGARD OR in 7850 SW DARTMOUTH ST, TIGARD, OR 94577 resulted in job transfer or restriction. Employee was service deli 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
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 7
Before the incident
prepping chickens
What happened
slipped while cutting peppers was not wearing PPE glove
Injury or illness
Laceration Finger Left Side
Object or substance involved
Knife
Summary line
Laceration Finger Left Side Cutting Knife
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023: Fast Food and Counter Workers
- 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 #
- WC608G4731
When (timing detail)
- Date of incident
- Shift started
- 09:01
- Time of incident
- 15:25
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 0111 - Tigard or
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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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