MARYSVILLE, WA —
OSHA Injury Report: 0642 - MARYSVILLE WA
Injury · Other recordable case
At a glance
On , an injury at 0642 - MARYSVILLE WA in MARYSVILLE, WA 83201 resulted in other recordable case. Employee was tIRE INSTALLER 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
- TIRE SHOP
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
removing a tire from the tire macine to balancer and tire bounced a jammed finger
What happened
removing a tire from the tire macine to balancer and tire bounced a jammed finger
Injury or illness
Strain Sprain Finger Left Side
Object or substance involved
Tire
Summary line
Strain Sprain Finger Left Side Caught Under Tire
Employee and industry
- 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 #
- SY63282
When (timing detail)
- Date of incident
- Shift started
- 9:00:00.000
- Time of incident
- 10:45:00.000
- 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.