Roseburg, OR —
OSHA Injury Report: 1073 ROSEBURG OR WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 1073 ROSEBURG OR WHSE in 4141 NE Stephens, Roseburg, OR 97470 resulted in job transfer or restriction. Employee was fORKLIFT DRIVER in wholesale Grocer.
Where did this happen?
- Establishment
- 1073 ROSEBURG OR WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 4141 NE Stephens
- City
- Roseburg
- State
- OR
- ZIP
- 97470
- On-site location
- HARDLINES
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 31
Before the incident
driving a forklift
What happened
Employee was driving a forklift and hit a beam
Injury or illness
Strain Sprain Back Lower Right Side
Object or substance involved
Steel Load Beams
Summary line
Strain Sprain Back Lower Right Side Struck Against a Fixed Object Steel Load Beams
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051 — Industrial Truck and Tractor Operators
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 242
- Total hours worked
- 346410
- EIN
- 911223280
- Establishment ID
- 1378734
- Employer case #
- WC608G9134
When (timing detail)
- Date of incident
- Shift started
- 3:45
- Time of incident
- 7:30
- Filing year
- 2024
- Submitted
- 28FEB2025:21:43:00
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1073 ROSEBURG OR WHSE
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View 1073 ROSEBURG OR WHSE'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.