Vancouver, WA ·
OSHA Injury Report: #22 CHUCK'S MP
Injury · Other recordable case
At a glance
On , an injury at #22 CHUCK'S MP in 13215 SE MILL PLAIN BLVD, Vancouver, WA 98684 resulted in other recordable case. Employee was nightcrew foreman in supermarkets.
Where did this happen?
- Establishment
- #22 CHUCK'S MP
- Parent company
- Roth IGA Foodliner, Inc.
- Street
- 13215 SE MILL PLAIN BLVD
- City
- Vancouver
- State
- WA
- ZIP
- 98684
- On-site location
- store backroom
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Tearing down shipment
What happened
Tearing down a shipment. Left foot caught on a pallet. Pallet piece broke off and sunk stuck to foot. Fell on hands and knees. Caused by broken pallet
Injury or illness
bruise contusion to both knees back neck both wrists and right shoulder
Object or substance involved
broken pallet
Summary line
Tearing down a shipment. Left foot caught on a pallet. Pallet piece broke off and sunk stuck to foot. Fell on hands and knees. Caused by broken pallet
Employee and industry
- Job description
- nightcrew foreman
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110: Supermarkets
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 59
- Hours worked at this establishment (2023 total)
- 86,826
- EIN
- 930506597
- Establishment ID
- 999877
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 04:00
- Time of incident
- 08:15
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-29
More injuries at #22 Chuck'S MP
View #22 Chuck'S MP's full OSHA safety record →
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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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