Federal Way, WA — 2024-09-16

OSHA Injury Report: 701-00111

Injury · Job transfer or restriction

At a glance

On 2024-09-16, an injury at 701-00111 in 33702 21St Ave Sw, Federal Way, WA 98023 resulted in job transfer or restriction. Employee was bAKERY CLERK in warehouse Clubs and Supercenters.

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Where did this happen?

Establishment: 701-00111
Parent company: Fred Meyer Stores Inc
Street: 33702 21St Ave Sw
City: Federal Way
State: WA
ZIP: 98023
On-site location: BAKERY DEPT NEAR BREAD RACK

What was the outcome?

Outcome: Job transfer or restriction (code 3)
Type: Injury (code 1)
Days restricted or transferred: 2

Before the incident

GRABBING SOME BREAD

What happened

While EE was grabbing some bread the bread rack slammed into his left knee EEs knee is swollen and there is some pain

Injury or illness

Concussion Right Knee Other injury bread rack

Object or substance involved

bread rack

Summary line

Concussion Right Knee Other injury bread rack

Employee and industry

Job description: BAKERY CLERK
SOC code: 9999 — Uncoded
NAICS code: 455211 — Warehouse Clubs and Supercenters
NAICS vintage: 2012
Avg employees: 297
Total hours worked: 411042
EIN: 930798201
Establishment ID: 966805
Employer case #: 879289

When (timing detail)

Date of incident: 2024-09-16
Shift started: 23:59
Time of incident: 3:30
Filing year: 2024
Submitted: 26FEB2025:21:38:00

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View 701-00111's full OSHA safety record →

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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.