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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Maple Valley, WA —

OSHA Injury Report: 701-00682

Injury · Days away from work

At a glance

On , an injury at 701-00682 in 26520 Maple Valley Black Diamond Rd SE, Maple Valley, WA 98038 resulted in days away from work. Employee was hOME HARDLINES in supermarkets and Other Grocery Except Convenience Stores.

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Where did this happen?

Establishment
701-00682
Parent company
Fred Meyer Stores Inc
Street
26520 Maple Valley Black Diamond Rd SE
City
Maple Valley
State
WA
ZIP
98038
On-site location
HOME GROCERY STOCK ONLY

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
3
Days restricted or transferred
15

Before the incident

PUSHING A PALLET [REDACTED]

What happened

EE was push a hand pallet When another associate on a forklift carrying furniture hit the pallet EE that employees was pushing causing that pallet jack to hit associate in the left shoulder and chesT

Injury or illness

Bruised Left Shoulder Struck by hand tool pallletJack

Object or substance involved

pallletJack

Summary line

Bruised Left Shoulder Struck by hand tool pallletJack

Employee and industry

Job description
HOME HARDLINES
SOC code
41-1011 — First-Line Supervisors of Retail Sales Workers
NAICS code
445110 — Supermarkets and Other Grocery Except Convenience Stores
NAICS vintage
2012
Avg employees
288
Total hours worked
380751
EIN
930798201
Establishment ID
966904
Employer case #
871027

When (timing detail)

Date of incident
Shift started
18:00
Time of incident
19:35
Filing year
2024
Submitted
26FEB2025:21:38:00

More injuries at 701-00682

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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.