EVERETT, WA ·
OSHA Injury Report: 0114 - EVERETT WA
Injury · Days away from work
At a glance
On , an injury at 0114 - EVERETT WA in 10200 19TH AVENUE SE, EVERETT, WA 92243 resulted in days away from work. Employee was forklift driver in wholesale Grocer.
Where did this happen?
- Establishment
- 0114 - EVERETT WA
- Parent company
- Costco Wholesale
- Street
- 10200 19TH AVENUE SE
- City
- EVERETT
- State
- WA
- ZIP
- 92243
- On-site location
- FOOD AND SUNDRY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
- Days restricted or transferred
- 4
Before the incident
pulling freight for freezer
What happened
Pulling freight for freezer and picking up stacking empty pallets
Injury or illness
Strain Sprain Back Lower
Object or substance involved
Tool Equipment Unclassified
Summary line
Strain Sprain Back Lower Lifting Tool Equipment Unclassified
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)
- 320
- Hours worked at this establishment (2023 total)
- 458,078
- EIN
- 911223280
- Establishment ID
- 1217242
- Employer case #
- SX14781
When (timing detail)
- Date of incident
- Shift started
- 03:00
- Time of incident
- 07:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 0114 - Everett WA
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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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