CLACKAMAS, OR —
OSHA Injury Report: 0097 - CLACKAMAS OR
Injury · Other recordable case
At a glance
On , an injury at 0097 - CLACKAMAS OR in CLACKAMAS, OR 97223 resulted in other recordable case. 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
- Womens bathroom
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Washing her hands
What happened
In bathroom trying to pull last paper towels out of dispenser that were stuck and dispenser door opened and struck her lip
Injury or illness
Laceration Mouth
Object or substance involved
Tool Equipment Unclassified
Summary line
Laceration Mouth Struck by a Moving Object Tool Equipment Unclassified
Employee and industry
- Job description
- STOCKER
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 473
- Total hours worked
- 699046
- EIN
- 911223280
- Establishment ID
- 1217100
- Employer case #
- WC608G2843
When (timing detail)
- Date of incident
- Shift started
- 3:00:00.000
- Time of incident
- 10:18:00.000
- 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.