Salem, OR ·
OSHA Injury Report: 1492 - SALEM OR
Injury · Job transfer or restriction
At a glance
On , an injury at 1492 - SALEM OR in 4885 27th Ave SE, Salem, OR 97306 resulted in job transfer or restriction. Employee was GAS station attd 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
- GAS STATION
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 15
Before the incident
stepping over trailer hitch
What happened
Just pulled gas nozzle and tripped over trailer with leg and fell down
Injury or illness
Inflammation swelling Hand Right Side
Object or substance involved
Member Vehicle
Summary line
Inflammation swelling Hand Right Side Struck Against a Fixed Object Member Vehicle
Employee and industry
- Job description
- GAS STATION ATTD
- SOC code
- 9999: Uncoded
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 485
- Hours worked at this establishment (2023 total)
- 693,832
- EIN
- 911223280
- Establishment ID
- 1217096
- Employer case #
- WC608G4716
When (timing detail)
- Date of incident
- Shift started
- 15:00
- Time of incident
- 15:45
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 1492 - Salem or
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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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