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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 0740 - LACEY WA

Injury · Days away from work

On , an injury at 0740 - LACEY WA in LACEY, WA 94509 resulted in days away from work. Employee was fOOD SERVICE in wholesale Grocer.

Establishment
0740 - LACEY WA
Parent company
Costco Wholesale
Street
1470 MARVIN ROAD NORTHEAST
City
LACEY
State
WA
ZIP
94509
On-site location
FOOD COURT
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
4

Cleaning drain

EE was cleaning drains hit head coming up from floor on table corner

Headache Head

Tool Equipment Unclassified

Headache Head Struck Against a Fixed Object Tool Equipment Unclassified

Job description
FOOD SERVICE
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 #
SX14886
Date of incident
Time of incident
21:30:00.000
Submitted
04MAR24:19:38:00

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.