CLACKAMAS, OR —
OSHA Injury Report: 0097 CLACKAMAS OR WHSE
Injury · Days away from work
At a glance
On , an injury at 0097 CLACKAMAS OR WHSE in 13130 SW 84TH AVENUE, CLACKAMAS, OR 97015 resulted in days away from work. Employee was sERVICE DELI CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 0097 CLACKAMAS OR WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 13130 SW 84TH AVENUE
- City
- CLACKAMAS
- State
- OR
- ZIP
- 97015
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
- Days restricted or transferred
- 6
Before the incident
working production in the service deli
What happened
squatted down to pick up box grabbed it wrong causing lower back to tweek caught box as it dropped
Injury or illness
Strain Sprain Back Lower Left Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Back Lower Left Side Lifting Merchandise
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 493
- Total hours worked
- 727982
- EIN
- 911223280
- Establishment ID
- 1378310
- Employer case #
- WC608H716
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 16:50
- Filing year
- 2025
- Submitted
- 28FEB26:00:31:00
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0097 CLACKAMAS OR WHSE
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0097 CLACKAMAS OR WHSE
View 0097 CLACKAMAS OR WHSE's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.