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 9210 24th Street SE, Lake Stevens, WA 98258 resulted in days away from work. Employee was service deli clerk 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
- Deli production room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
pulling product
What happened
Moving product from tables and slipped
Injury or illness
Inflammation swelling Back Lower
Object or substance involved
Tool Equipment Unclassified
Summary line
Inflammation swelling Back Lower Fall from Same Level Tool Equipment Unclassified
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)
- 285
- Hours worked at this establishment (2023 total)
- 449,689
- EIN
- 911223280
- Establishment ID
- 1217058
- Employer case #
- SY63007
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 13:20
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 1588 - Lake Stevens 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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