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.
Where did this happen?
- Establishment
- Foodservice Pacific NW - 1017
- Street
- 19606 NE San Rafael St
- City
- Portland
- State
- OR
- ZIP
- 97230
- On-site location
- Wingstop 1839 Parking lot
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Strain Injury by Lifting
What happened
[REDACTED] reported he injured his shoulder while delivering to [REDACTED] on [REDACTED] [REDACTED]
Injury or illness
Cause Strain or Injury By Body Part Upper Arm Including Clavicle Scapula Body Part Position Detail Cause Strain Injury by Lifting
Object or substance involved
Food Product
Summary line
Cause Strain or Injury By Body Part Upper Arm Including Clavicle Scapula Body Part Position Detail Cause Strain Injury by Lifting
Employee and industry
- Job description
- Driver
- SOC code
- 53-3033 — Light Truck Drivers
- 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
- 1:12:00.000
- Time of incident
- 3:00:00.000
- 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.