EVERETT, MA —
OSHA Injury Report: 0333 - EVERETT MA
Injury · Days away from work
At a glance
On , an injury at 0333 - EVERETT MA in EVERETT, MA 55433 resulted in days away from work. Employee was fOOD SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 0333 - EVERETT MA
- Parent company
- Costco Wholesale
- Street
- 2 MYSTIC VIEW ROAD
- City
- EVERETT
- State
- MA
- ZIP
- 55433
- On-site location
- FOOD AND SUNDRY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 91
Before the incident
Walking in
What happened
Bumped by forklift on right arm
Injury or illness
Bruise or Contusion Arm
Object or substance involved
Forklift
Summary line
Bruise or Contusion Arm Jarring Bouncing Forklift
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 269
- Total hours worked
- 411339
- EIN
- 911223280
- Establishment ID
- 1217608
- Employer case #
- WC390F5239
When (timing detail)
- Date of incident
- Shift started
- 6:03:00.000
- Time of incident
- 5:58:00.000
- Submitted
- 04MAR24:19:32:00
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.