Lake Stevens, WA —
OSHA Injury Report: 1588 - LAKE STEVENS WA
Injury · Days away from work
At a glance
On , an injury at 1588 - LAKE STEVENS WA in Lake Stevens, WA 98258 resulted in days away from work. Employee was sTOCKER in wholesale Grocer.
Where did this happen?
- Establishment
- 1588 - LAKE STEVENS WA
- Parent company
- Costco Wholesale
- Street
- 9210 24th Street SE
- City
- Lake Stevens
- State
- WA
- ZIP
- 98258
- On-site location
- HARDLINES
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 4
Before the incident
stocking
What happened
While stocking wa talking to a forklift driver and when I stepped back I tripped over a pallet jack falling backwards
Injury or illness
Bruise or Contusion Arm Left Side
Object or substance involved
Pallet Jack Manual
Summary line
Bruise or Contusion Arm Left Side Caught by Fixed Object Pallet Jack Manual
Employee and industry
- Job description
- STOCKER
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 285
- Total hours worked
- 449689
- EIN
- 911223280
- Establishment ID
- 1217058
- Employer case #
- SX14754
When (timing detail)
- Date of incident
- Shift started
- 4:00:00.000
- Time of incident
- 7:00:00.000
- Submitted
- 04MAR24:19:30:00
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.