SEQUIM, WA —
OSHA Injury Report: 0639 SEQUIM WA WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0639 SEQUIM WA WHSE in 955 WEST WASHINGTON STREET, SEQUIM, WA 98382 resulted in job transfer or restriction. Employee was fORKLIFT DRIVER in wholesale Grocer.
Where did this happen?
- Establishment
- 0639 SEQUIM WA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 955 WEST WASHINGTON STREET
- City
- SEQUIM
- State
- WA
- ZIP
- 98382
- On-site location
- WALK IN FREEZER
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 7
Before the incident
Opening Freezer door
What happened
Opened freezer door and air vent unit fell off wall and hit him on lseft side of head Fell to ground and hurt right knee
Injury or illness
Concussion Head Left Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Concussion Head Left Side Struck by a falling or flying object Tool Equipment Unclassified
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
- 240
- Total hours worked
- 345705
- EIN
- 911223280
- Establishment ID
- 1378569
- Employer case #
- WC608H767
When (timing detail)
- Date of incident
- Shift started
- 3:00
- Time of incident
- 4:45
- Filing year
- 2025
- Submitted
- 28FEB26:00:31:00
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View 0639 SEQUIM 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.