EUGENE, OR ·
OSHA Injury Report: 0017 - EUGENE OR
Injury · Job transfer or restriction
At a glance
On , an injury at 0017 - EUGENE OR in 2828 CHAD DR, EUGENE, OR 97408 resulted in job transfer or restriction. Employee was service deli clerk in wholesale Grocer.
Where did this happen?
- Establishment
- 0017 - EUGENE OR
- Parent company
- Costco Wholesale
- Street
- 2828 CHAD DR
- City
- EUGENE
- State
- OR
- ZIP
- 97408
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 11
Before the incident
Walking into the chicken room
What happened
Entering chicken room turned quickly and slipped on the floor hitting back and head
Injury or illness
Strain Sprain Back Lower Right and Left Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Back Lower Right and Left Side Fall from Same Level Floor Walking Surface
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)
- 415
- Hours worked at this establishment (2023 total)
- 594,084
- EIN
- 911223280
- Establishment ID
- 1217094
- Employer case #
- WC608G7641
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 08:25
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 0017 - Eugene 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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