PORTLAND, OR ·
OSHA Injury Report: 0002 - PORTLAND OR
Injury · Days away from work
At a glance
On , an injury at 0002 - PORTLAND OR in 4849 NORTHEAST 138TH, PORTLAND, OR 97230 resulted in days away from work. Employee was service deli clerk in wholesale Grocer.
Where did this happen?
- Establishment
- 0002 - PORTLAND OR
- Parent company
- Costco Wholesale
- Street
- 4849 NORTHEAST 138TH
- City
- PORTLAND
- State
- OR
- ZIP
- 97230
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 24
- Days restricted or transferred
- 27
Before the incident
washing skewers
What happened
hand scrubbing skewers since dishwasher was broken
Injury or illness
Inflammation swelling Arm Right and Left Side
Object or substance involved
Foreign Body
Summary line
Inflammation swelling Arm Right and Left Side Repetitive Motion Foreign Body
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)
- 501
- Hours worked at this establishment (2023 total)
- 727,581
- EIN
- 911223280
- Establishment ID
- 1217097
- Employer case #
- WC608G6448
When (timing detail)
- Date of incident
- Shift started
- 13:30
- Time of incident
- 19:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
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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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