WILSONVILLE, OR —
OSHA Injury Report: 0766 - WILSONVILLE OR
Injury · Job transfer or restriction
At a glance
On , an injury at 0766 - WILSONVILLE OR in WILSONVILLE, OR 28405 resulted in job transfer or restriction. Employee was fOOD SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 0766 - WILSONVILLE OR
- Parent company
- Costco Wholesale
- Street
- 25900 SOUTHWEST HEATHER PLACE
- City
- WILSONVILLE
- State
- OR
- ZIP
- 28405
- On-site location
- FOOD COURT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 10
Before the incident
cleaning the floors
What happened
Cleaning the floors drain cover was off mis stepped and tripped backwards
Injury or illness
Strain Sprain Back Upper Left Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Back Upper Left Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 338
- Total hours worked
- 514768
- EIN
- 911223280
- Establishment ID
- 1217862
- Employer case #
- WC608G6959
When (timing detail)
- Date of incident
- Shift started
- 14:28:00.000
- Time of incident
- 20:30:00.000
- 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.