SILVERDALE, WA ·
OSHA Injury Report: 0013 - SILVERDALE WA
Injury · Days away from work
At a glance
On , an injury at 0013 - SILVERDALE WA in 10000 MICKELBERRY RD NW, SILVERDALE, WA 98383 resulted in days away from work. Employee was tire installer in wholesale Grocer.
Where did this happen?
- Establishment
- 0013 - SILVERDALE WA
- Parent company
- Costco Wholesale
- Street
- 10000 MICKELBERRY RD NW
- City
- SILVERDALE
- State
- WA
- ZIP
- 98383
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 8
- Days restricted or transferred
- 80
Before the incident
using bead breaker
What happened
Using bead breaker and felt a pop in lower back
Injury or illness
Strain Sprain Back Lower Right and Left Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Strain Sprain Back Lower Right and Left Side Pulling Tool Equipment Unclassified
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 49-3093: Tire Repairers and Changers
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 352
- Hours worked at this establishment (2023 total)
- 514,504
- EIN
- 911223280
- Establishment ID
- 1217049
- Employer case #
- SX14742
When (timing detail)
- Date of incident
- Shift started
- 09:45
- Time of incident
- 13:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 0013 - Silverdale 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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