SILVERDALE, WA ·
OSHA Injury Report: 0013 - SILVERDALE WA
Injury · Other recordable case
At a glance
On , an injury at 0013 - SILVERDALE WA in 10000 MICKELBERRY RD NW, SILVERDALE, WA 98383 resulted in other recordable case. Employee was service deli clerk 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
- SERVICE DELI
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
normal job duties Repetitive lifting
What happened
no specific incident Repeated loading and unloading of ovens
Injury or illness
Strain Sprain Shoulder Left Side
Object or substance involved
Deli Rotisserie Skewer
Summary line
Strain Sprain Shoulder Left Side Lifting Deli [REDACTED]
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)
- 352
- Hours worked at this establishment (2023 total)
- 514,504
- EIN
- 911223280
- Establishment ID
- 1217049
- Employer case #
- SY63202
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
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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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