CLACKAMAS, OR ·
OSHA Injury Report: 0097 - CLACKAMAS OR
Injury · Job transfer or restriction
At a glance
On , an injury at 0097 - CLACKAMAS OR in 13130 SW 84TH AVENUE, CLACKAMAS, OR 97223 resulted in job transfer or restriction. Employee was stocker in wholesale Grocer.
Where did this happen?
- Establishment
- 0097 - CLACKAMAS OR
- Parent company
- Costco Wholesale
- Street
- 13130 SW 84TH AVENUE
- City
- CLACKAMAS
- State
- OR
- ZIP
- 97223
- On-site location
- Stocking in foods
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 30
Before the incident
stocking in foods lifting bending twisting
What happened
I was stocking food department noticed pain BBQ Sauce or Ketchup
Injury or illness
Strain Sprain Back Lower Right Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Back Lower Right Side Lifting Merchandise
Employee and industry
- Job description
- STOCKER
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 473
- Hours worked at this establishment (2023 total)
- 699,046
- EIN
- 911223280
- Establishment ID
- 1217100
- Employer case #
- WC608G1868
When (timing detail)
- Date of incident
- Shift started
- 05:00
- Time of incident
- 08:00
- 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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