EUGENE, OR ·
OSHA Injury Report: 0017 - EUGENE OR
Injury · Other recordable case
At a glance
On , an injury at 0017 - EUGENE OR in 2828 CHAD DR, EUGENE, OR 97408 resulted in other recordable case. Employee was cake decorator 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
- Betwenn receiving dock and bakery
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking to the bakery
What happened
Walking from receiving dock to bakery slipped on a piece of wood knee cracked blacked out
Injury or illness
Bruise or Contusion Back Lower Right and Left Side
Object or substance involved
Foreign Body
Summary line
Bruise or Contusion Back Lower Right and Left Side Fall from Same Level Foreign Body
Employee and industry
- Job description
- CAKE DECORATOR
- SOC code
- 51-3092: Food Batchmakers
- 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 #
- WC608G2914
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 08:00
- 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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