WILSONVILLE, OR —
OSHA Injury Report: 0766 - WILSONVILLE OR
Injury · Other recordable case
At a glance
On , an injury at 0766 - WILSONVILLE OR in WILSONVILLE, OR 28405 resulted in other recordable case. Employee was mAINTENANCE ASST 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
- Breakroom store room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Putting away supplies in store room
What happened
Lifting overhead box slipped off shelf He caught it felt pain in R shoulder
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Shoulder Right Side Lifting Merchandise
Employee and industry
- Job description
- MAINTENANCE ASST
- SOC code
- 49-9071 — Maintenance and Repair Workers, General
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 338
- Total hours worked
- 514768
- EIN
- 911223280
- Establishment ID
- 1217862
- Employer case #
- WC608G2948
When (timing detail)
- Date of incident
- Shift started
- 4:00:00.000
- Time of incident
- 12:10:00.000
- 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.