Lake Stevens, WA ·
OSHA Injury Report: 1588 - LAKE STEVENS WA
Injury · Job transfer or restriction
At a glance
On , an injury at 1588 - LAKE STEVENS WA in 9210 24th Street SE, Lake Stevens, WA 98258 resulted in job transfer or restriction. Employee was MGR staff 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
- RECEIVING
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 14
Before the incident
using a sledgehammer
What happened
using sledgehammer to break apart a pallet board came loose and slammed into the back of head
Injury or illness
Laceration Head
Object or substance involved
Tool Equipment Unclassified
Summary line
Laceration Head Struck by a falling or flying object Tool Equipment Unclassified
Employee and industry
- Job description
- MGR STAFF
- SOC code
- 9999: Uncoded
- 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 #
- SX14906
When (timing detail)
- Date of incident
- Shift started
- 04:00
- Time of incident
- 12:00
- 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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