Bonney Lake, WA —
OSHA Injury Report: 1278 - BONNEY LAKE WA
Injury · Other recordable case
At a glance
On , an injury at 1278 - BONNEY LAKE WA in Bonney Lake, WA 60143 resulted in other recordable case. Employee was optical Clerk in wholesale Grocer.
Where did this happen?
- Establishment
- 1278 - BONNEY LAKE WA
- Parent company
- Costco Wholesale
- Street
- 9801 204th Ave E
- City
- Bonney Lake
- State
- WA
- ZIP
- 60143
- On-site location
- optical counter
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
restarting the computer
What happened
ee had seizure while in optical dept standing at a computer hit head face on counter
Injury or illness
Seizure Head Right and Left Side
Object or substance involved
Medical Condition Idiopathic
Summary line
Seizure Head Right and Left Side Medical Condition Idiopathic Medical Condition Idiopathic
Employee and industry
- Job description
- Optical Clerk
- SOC code
- 41-4010 — Sales Representatives, Wholesale and Manufacturing
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 294
- Total hours worked
- 460841
- EIN
- 911223280
- Establishment ID
- 1217583
- Employer case #
- SY62978
When (timing detail)
- Date of incident
- Shift started
- 10:02:00.000
- Time of incident
- 14:00:00.000
- Submitted
- 04MAR24:19:27:00
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.