KIRKLAND, WA ·
OSHA Injury Report: 0008 - KIRKLAND WA
Injury · Job transfer or restriction
At a glance
On , an injury at 0008 - KIRKLAND WA in 8629 120TH AVENUE NORTHEAST, KIRKLAND, WA 98033 resulted in job transfer or restriction. Employee was service deli clerk 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
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 117
Before the incident
Jogging to turn off speaker
What happened
Jogged to turn of the speaker to answer a question and fell bumping my wrist
Injury or illness
Bruise or Contusion Wrist Left Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Bruise or Contusion Wrist Left Side Fall from Same Level Tool Equipment Unclassified
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023: Fast Food and Counter 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 #
- SY63487
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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