PORTLAND, OR —
OSHA Injury Report: 0002 - PORTLAND OR
Injury · Job transfer or restriction
At a glance
On , an injury at 0002 - PORTLAND OR in PORTLAND, OR 97230 resulted in job transfer or restriction. 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
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 16
Before the incident
Cleaning Deli
What happened
Stepped in an open floor drain
Injury or illness
Bruise or Contusion Forearms Left Side
Object or substance involved
Merchandise
Summary line
Bruise or Contusion Forearms Left Side Fall from Same Level Merchandise
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
- Avg employees
- 501
- Total hours worked
- 727581
- EIN
- 911223280
- Establishment ID
- 1217097
- Employer case #
- WC608G6950
When (timing detail)
- Date of incident
- Time of incident
- 22:00:00.000
- Submitted
- 04MAR24:19:30:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.