EVERETT, WA —
OSHA Injury Report: 0114 EVERETT WA WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0114 EVERETT WA WHSE in 10200 19TH AVENUE SE, EVERETT, WA 98208 resulted in job transfer or restriction. Employee was mAINTENANCE ASST in wholesale Grocer.
Where did this happen?
- Establishment
- 0114 EVERETT WA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 10200 19TH AVENUE SE
- City
- EVERETT
- State
- WA
- ZIP
- 98208
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 37
Before the incident
Cleaning
What happened
While cleaning ovens she was supporting herself with her left arm and cleaning with her right Her left arm started hurt
Injury or illness
Strain Sprain Arm Left Side
Object or substance involved
Maintenance Housekeeping
Summary line
Strain Sprain Arm Left Side Reaching Maintenance Housekeeping
Employee and industry
- Job description
- MAINTENANCE ASST
- SOC code
- 37-2011 — Janitors and Cleaners, Except Maids and Housekeeping Cleaners
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 325
- Total hours worked
- 480987
- EIN
- 911223280
- Establishment ID
- 1378319
- Employer case #
- WC608P064
When (timing detail)
- Date of incident
- Shift started
- 12:30
- Time of incident
- 18:30
- Filing year
- 2025
- Submitted
- 28FEB26:00:31:00
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View 0114 EVERETT WA 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.