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 sUP HOURLY 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
- SEASONAL
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Moving Tpole
What happened
Moving Tpole with dart board display and display fell on his head
Injury or illness
Bruise or Contusion Head Right and Left Side
Object or substance involved
Display
Summary line
Bruise or Contusion Head Right and Left Side Object Handled Display
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 338
- Total hours worked
- 514768
- EIN
- 911223280
- Establishment ID
- 1217862
- Employer case #
- WC608G7913
When (timing detail)
- Date of incident
- Shift started
- 2:00:00.000
- Time of incident
- 5:28:00.000
- 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.