Salem, OR —
OSHA Injury Report: 1492 - SALEM OR
Injury · Days away from work
At a glance
On , an injury at 1492 - SALEM OR in Salem, OR 97306 resulted in days away from work. Employee was mGR DEPT in wholesale Grocer.
Where did this happen?
- Establishment
- 1492 - SALEM OR
- Parent company
- Costco Wholesale
- Street
- 4885 27th Ave SE
- City
- Salem
- State
- OR
- ZIP
- 97306
- 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
- 21
- Days restricted or transferred
- 165
Before the incident
lifting heav merchandise
What happened
Lifted some heavy items to stock high and began to get sore Now can t lift arm above head without pain
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Shoulder Right Side Lifting Merchandise
Employee and industry
- Job description
- MGR DEPT
- SOC code
- 41-1012 — First-Line Supervisors of Non-Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 485
- Total hours worked
- 693832
- EIN
- 911223280
- Establishment ID
- 1217096
- Employer case #
- WC608G5318
When (timing detail)
- Date of incident
- Shift started
- 13:00:00.000
- Time of incident
- 22:00:00.000
- Submitted
- 04MAR24:19:29:00
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.