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 service deli clerk 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
- Service Deli
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 34
Before the incident
lifting from the bottom of a rack
What happened
Heavy container on bottom rack tried to lift but it was heavier than expected Dropped container then picked it up again
Injury or illness
Strain Sprain Back Lower Left Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Back Lower Left Side Lifting Merchandise
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)
- 473
- Hours worked at this establishment (2023 total)
- 699,046
- EIN
- 911223280
- Establishment ID
- 1217100
- Employer case #
- WC608G2520
When (timing detail)
- Date of incident
- Shift started
- 16:00
- Time of incident
- 19:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 0097 - Clackamas or
View 0097 - Clackamas or's full OSHA safety record →
More injuries in this industry (NAICS 455211)
More injuries in OR
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.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.