LACEY, WA —
OSHA Injury Report: 0740 - LACEY WA
Injury · Days away from work
At a glance
On , an injury at 0740 - LACEY WA in LACEY, WA 94509 resulted in days away from work. Employee was rTV CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 0740 - LACEY WA
- Parent company
- Costco Wholesale
- Street
- 1470 MARVIN ROAD NORTHEAST
- City
- LACEY
- State
- WA
- ZIP
- 94509
- On-site location
- RECEIVING
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 53
- Days restricted or transferred
- 30
Before the incident
bending packing merchandise
What happened
EE was folding a mattress to wrap up and hear shoulder pop
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Shoulder Right Side Pulling Merchandise
Employee and industry
- Job description
- RTV CLERK
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 319
- Total hours worked
- 467888
- EIN
- 911223280
- Establishment ID
- 1217184
- Employer case #
- SX14927
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 11:00:00.000
- Submitted
- 04MAR24:19:38:00
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.