VANCOUVER, WA —
OSHA Injury Report: 0772 - VANCOUVER WA
Injury · Job transfer or restriction
At a glance
On , an injury at 0772 - VANCOUVER WA in VANCOUVER, WA 40241 resulted in job transfer or restriction. Employee was gAS STATION ATTD in wholesale Grocer.
Where did this happen?
- Establishment
- 0772 - VANCOUVER WA
- Parent company
- Costco Wholesale
- Street
- 6720 NORTHEAST 84TH STREET
- City
- VANCOUVER
- State
- WA
- ZIP
- 40241
- On-site location
- FOOD AND SUNDRY
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 92
Before the incident
walking up the main aisle by [REDACTED]
What happened
Employee moved out of path of forklift and when he went to continue walking foot got hung up on shrink wrap causing fall
Injury or illness
Bruise or Contusion Shoulder Left Side
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Shoulder Left Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- GAS STATION ATTD
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 459
- Total hours worked
- 641000
- EIN
- 911223280
- Establishment ID
- 1217718
- Employer case #
- SY63440
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 6:00:00.000
- Submitted
- 04MAR24:19:39:00
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.