MARYSVILLE, WA —
OSHA Injury Report: 0642 - MARYSVILLE WA
Injury · Job transfer or restriction
At a glance
On , an injury at 0642 - MARYSVILLE WA in MARYSVILLE, WA 83201 resulted in job transfer or restriction. Employee was mGR DEPT in wholesale Grocer.
Where did this happen?
- Establishment
- 0642 - MARYSVILLE WA
- Parent company
- Costco Wholesale
- Street
- 16616 TWIN LAKES AVENUE
- City
- MARYSVILLE
- State
- WA
- ZIP
- 83201
- On-site location
- PRODUCE
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 8
Before the incident
pushing box
What happened
Employee was pushing heavy watermelon box and fell forward hitting the ground hurting their chest
Injury or illness
Bruise or Contusion Chest
Object or substance involved
Cardboard
Summary line
Bruise or Contusion Chest Fall from Same Level Cardboard
Employee and industry
- Job description
- MGR DEPT
- SOC code
- 41-1012 — First-Line Supervisors of Non-Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 301
- Total hours worked
- 432153
- EIN
- 911223280
- Establishment ID
- 1217397
- Employer case #
- SY63542
When (timing detail)
- Date of incident
- Shift started
- 4:15:00.000
- Time of incident
- 5:00:00.000
- 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.