LACEY, WA —
OSHA Injury Report: 0740 - LACEY WA
Injury · Job transfer or restriction
At a glance
On , an injury at 0740 - LACEY WA in LACEY, WA 94509 resulted in job transfer or restriction. Employee was tIRE INSTALLER 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
- Tire Shop
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 9
Before the incident
Using the floor [REDACTED]
What happened
EE hit their head with the handle of the floor [REDACTED]
Injury or illness
Concussion Head
Object or substance involved
Tire Center Floor Jack
Summary line
Concussion Head Caught by Fixed Object Tire Center Floor [REDACTED]
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
- 319
- Total hours worked
- 467888
- EIN
- 911223280
- Establishment ID
- 1217184
- Employer case #
- SY63008
When (timing detail)
- Date of incident
- Shift started
- 11:45:00.000
- Time of incident
- 13:45:00.000
- 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.