CLACKAMAS, OR ·
OSHA Injury Report: 0097 - CLACKAMAS OR
Injury · Other recordable case
At a glance
On , an injury at 0097 - CLACKAMAS OR in 13130 SW 84TH AVENUE, CLACKAMAS, OR 97223 resulted in other recordable case. Employee was cashier asst 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
- HABA
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
stocking in OTC and HABA
What happened
standing on top of 2 step ladder when fell off the top of ladder to the ground
Injury or illness
Strain Sprain Back Lower Left Side
Object or substance involved
Ladder Stepstool
Summary line
Strain Sprain Back Lower Left Side Fall from ladder stepstool Ladder Stepstool
Employee and industry
- Job description
- CASHIER ASST
- SOC code
- 41-2011: Cashiers
- 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 #
- WC608G8201
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 16:12
- 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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