TIGARD, OR —
OSHA Injury Report: 0111 - TIGARD OR
Injury · Job transfer or restriction
At a glance
On , an injury at 0111 - TIGARD OR in TIGARD, OR 94577 resulted in job transfer or restriction. Employee was fOOD SERVICE 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
- FOOD COURT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 26
Before the incident
At register handing out food
What happened
Lookin in oven and hit head when bending over
Injury or illness
Bruise or Contusion Head Right Side
Object or substance involved
Rack
Summary line
Bruise or Contusion Head Right Side Struck Against a Fixed Object Rack
Employee and industry
- Job description
- FOOD SERVICE
- 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 #
- WC608G4426
When (timing detail)
- Date of incident
- Shift started
- 16:30:00.000
- Time of incident
- 17:15:00.000
- 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.