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Safety Incidents OSHA Severe Injury Reports · 2015–2025

MOUNTLAKE TERRACE, WA —

OSHA Injury Report: ABS-0027-0026-00414 FAC-00414-MOUNTLAKE TERRACE-WA

Injury · Days away from work

At a glance

On , an injury at ABS-0027-0026-00414 FAC-00414-MOUNTLAKE TERRACE-WA in 4301 212TH STREET SW, MOUNTLAKE TERRACE, WA 98043 resulted in days away from work. Employee was driveUp Go Pers in supermarkets and Other Grocery except Convenience Stores.

Where did this happen?

Establishment
ABS-0027-0026-00414 FAC-00414-MOUNTLAKE TERRACE-WA
Parent company
Albertsons LLC
Street
4301 212TH STREET SW
City
MOUNTLAKE TERRACE
State
WA
ZIP
98043
On-site location
IN PARKING AREA

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
19

Before the incident

CUSTOMER CARRY OUT SERVICE

What happened

He was opening the door to take a DUG order out to a customers car and a kid on a bike ran into his left leg

Injury or illness

Bruised Left Lower leg Struck by Kid on a bike

Object or substance involved

Kid on a bike

Summary line

He was opening the door to take a DUG order out to a customers car and a kid on a bike ran into his left leg

Employee and industry

Job description
DriveUp Go Pers
SOC code
41-2011 — Cashiers
NAICS code
445110 — Supermarkets and Other Grocery except Convenience Stores
NAICS vintage
2022
Avg employees
126
Total hours worked
172039
EIN
820184434
Establishment ID
1140375
Employer case #
69065

When (timing detail)

Date of incident
Shift started
9:15
Time of incident
16:35
Filing year
2024
Submitted
21FEB2025:08:27:00

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.