SEQUIM, WA —
OSHA Injury Report: 0639 - SEQUIM WA
Injury · Other recordable case
At a glance
On , an injury at 0639 - SEQUIM WA in SEQUIM, WA 53562 resulted in other recordable case. Employee was sUP HOURLY 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
- Front End Registers
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
unloading merchandise
What happened
I was unloading a stopped riding shopping cart for a member He unexpectedly rammed me without warning
Injury or illness
Strain Sprain Shoulder Right and Left Side
Object or substance involved
Member Electric Scooter
Summary line
Strain Sprain Shoulder Right and Left Side Struck by a Moving Object Member Electric Scooter
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 217
- Total hours worked
- 314868
- EIN
- 911223280
- Establishment ID
- 1217631
- Employer case #
- SY62995
When (timing detail)
- Date of incident
- Shift started
- 10:00:00.000
- 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.