CLACKAMAS, OR —
OSHA Injury Report: 0097 - CLACKAMAS OR
Injury · Job transfer or restriction
At a glance
On , an injury at 0097 - CLACKAMAS OR in CLACKAMAS, OR 97223 resulted in job transfer or restriction. Employee was gAS STATION ATTD 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
- GAS STATION
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 51
Before the incident
walking from gas station to break
What happened
Got hit by a truck and was going to break
Injury or illness
Bruise or Contusion Hip Right Side
Object or substance involved
Member Vehicle
Summary line
Bruise or Contusion Hip Right Side Struck by a Moving Object Member Vehicle
Employee and industry
- Job description
- GAS STATION ATTD
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 473
- Total hours worked
- 699046
- EIN
- 911223280
- Establishment ID
- 1217100
- Employer case #
- WC608G7241
When (timing detail)
- Date of incident
- Shift started
- 9:30:00.000
- Time of incident
- 11:46:00.000
- Submitted
- 04MAR24:19:40:00
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.