SEQUIM, WA —
OSHA Injury Report: 0639 - SEQUIM WA
Injury · Days away from work
At a glance
On , an injury at 0639 - SEQUIM WA in SEQUIM, WA 53562 resulted in days away from work. Employee was sTOCKER in wholesale Grocer.
Where did this happen?
- Establishment
- 0639 - SEQUIM WA
- Parent company
- Costco Wholesale
- Street
- 955 WEST WASHINGTON STREET
- City
- SEQUIM
- State
- WA
- ZIP
- 53562
- On-site location
- WALK IN FREEZER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
- Days restricted or transferred
- 14
Before the incident
pulling pallet out of freezer
What happened
In freezer pulling ice out slipped on ice while pulling a pallet out Caught self on steel straining left shoulder
Injury or illness
Strain Sprain Shoulder Left Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Shoulder Left Side Fall on Ice or Snow Floor Walking Surface
Employee and industry
- Job description
- STOCKER
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 217
- Total hours worked
- 314868
- EIN
- 911223280
- Establishment ID
- 1217631
- Employer case #
- SY63435
When (timing detail)
- Date of incident
- Shift started
- 13:30:00.000
- Time of incident
- 15:00:00.000
- Submitted
- 04MAR24:19:36:00
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.