Portland, OR —
OSHA Injury Report: Foodservice Pacific NW - 1017
Injury · Days away from work
At a glance
On , an injury at Foodservice Pacific NW - 1017 in Portland, OR 97230 resulted in days away from work. Employee was driver Shuttle.
Where did this happen?
- Establishment
- Foodservice Pacific NW - 1017
- Street
- 19606 NE San Rafael St
- City
- Portland
- State
- OR
- ZIP
- 97230
- On-site location
- Foodservice Pacific NW 1017 Front lot
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
Strain Injury by Push Pulling
What happened
EE states he was hooking up his rear trailer The dolly was seized against the leading edge of the trailer and would not move He says he went over to the left side of the dolly tire to push it away from trailer he felt a pop in his left shoulder
Injury or illness
Cause Strain or Injury By Body Part Shoulder s Body Part Position Right Detail Cause Strain Injury by Push Pulling
Object or substance involved
Converter Dolly
Summary line
Cause Strain or Injury By Body Part Shoulder s Body Part Position Right Detail Cause Strain Injury by Push Pulling
Employee and industry
- Job description
- Driver Shuttle
- SOC code
- 53-3053 — Shuttle Drivers and Chauffeurs
- NAICS code
- 424410
- NAICS vintage
- 2022
- Avg employees
- 153
- Total hours worked
- 323768
- EIN
- 840629503
- Establishment ID
- 205907
- Employer case #
- 1201WC2303
When (timing detail)
- Date of incident
- Shift started
- 15:03:00.000
- Time of incident
- 18:35:00.000
- Submitted
- 06MAR24:18:30:00
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.