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 SUP hourly 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
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
sitting on floor to put on a tire
What happened
sitting down to put a tire on and slipped Landed on my butt and pulled a muscle in his lower back
Injury or illness
Strain Sprain Back Lower Left Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Back Lower Left Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales 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 #
- SY63292
When (timing detail)
- Date of incident
- Shift started
- 12:30
- 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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