Portland, OR —
OSHA Injury Report: Foodservice Pacific NW - 1017
Injury · Other recordable case
At a glance
On , an injury at Foodservice Pacific NW - 1017 in Portland, OR 97230 resulted in other recordable case. Employee was driver Hourly.
Where did this happen?
- Establishment
- Foodservice Pacific NW - 1017
- Street
- 19606 NE San Rafael St
- City
- Portland
- State
- OR
- ZIP
- 97230
- On-site location
- Unknown
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Fall Slip Same Level
What happened
Driver was stacking empty wood pallets inside his trailer A slat on a pallet broke and the pallet fell onto drivers foot causing him to lose his balance and fall striking his knee As driver stood up he heard a pop and felt pain in his right knee
Injury or illness
Cause Fall Slip or Trip Injury Body Part Knee Body Part Position Detail Cause Fall Slip Same Level
Object or substance involved
Unknown
Summary line
Cause Fall Slip or Trip Injury Body Part Knee Body Part Position Detail Cause Fall Slip Same Level
Employee and industry
- Job description
- Driver Hourly
- SOC code
- 9999 — Uncoded
- NAICS code
- 424410
- NAICS vintage
- 2022
- Avg employees
- 153
- Total hours worked
- 323768
- EIN
- 840629503
- Establishment ID
- 205907
- Employer case #
- 1201WC2403
When (timing detail)
- Date of incident
- Shift started
- 0:00:00.000
- Time of incident
- 3:30:00.000
- 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.