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 MGR dept 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
- tires battery racks
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 145
Before the incident
organizing the battery rack
What happened
pulling batteries from racking felt pain in right shoulder
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Shoulder Right Side Object Handled Merchandise
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)
- 473
- Hours worked at this establishment (2023 total)
- 699,046
- EIN
- 911223280
- Establishment ID
- 1217100
- Employer case #
- WC608G4244
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 16:30
- 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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