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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 0642 - MARYSVILLE WA

Injury · Days away from work

On , an injury at 0642 - MARYSVILLE WA in MARYSVILLE, WA 83201 resulted in days away from work. Employee was tIRE INSTALLER in wholesale Grocer.

Establishment
0642 - MARYSVILLE WA
Parent company
Costco Wholesale
Street
16616 TWIN LAKES AVENUE
City
MARYSVILLE
State
WA
ZIP
83201
On-site location
TIRE SHOP
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
14
Days restricted or transferred
79

working on vehicle

Working on heavy tires and rims anf trucks and hurt back

Strain Sprain Back Lower Right and Left Side

Tire

Strain Sprain Back Lower Right and Left Side Repetitive Motion Tire

Job description
TIRE INSTALLER
SOC code
49-3093 — Tire Repairers and Changers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
301
Total hours worked
432153
EIN
911223280
Establishment ID
1217397
Employer case #
SX14814
Date of incident
Shift started
9:00:00.000
Time of incident
13:30:00.000
Submitted
04MAR24:19:36:00

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.