KIRKLAND, WA ·
OSHA Injury Report: 0008 - KIRKLAND WA
Injury · Days away from work
At a glance
On , an injury at 0008 - KIRKLAND WA in 8629 120TH AVENUE NORTHEAST, KIRKLAND, WA 98033 resulted in days away from work. Employee was MGR dept in wholesale Grocer.
Where did this happen?
- Establishment
- 0008 - KIRKLAND WA
- Parent company
- Costco Wholesale
- Street
- 8629 120TH AVENUE NORTHEAST
- City
- KIRKLAND
- State
- WA
- ZIP
- 98033
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
- Days restricted or transferred
- 80
Before the incident
walking
What happened
drain missing piece stepped back and caught my leg with wall
Injury or illness
Strain Sprain Elbow
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Elbow Left Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- MGR DEPT
- SOC code
- 41-1012: First-Line Supervisors of Non-Retail Sales Workers
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 311
- Hours worked at this establishment (2023 total)
- 493,704
- EIN
- 911223280
- Establishment ID
- 1217075
- Employer case #
- SY63554
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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