MARYSVILLE, WA —
OSHA Injury Report: 0642 MARYSVILLE WA WHSE
Injury · Days away from work
At a glance
On , an injury at 0642 MARYSVILLE WA WHSE in 16616 TWIN LAKES AVENUE, MARYSVILLE, WA 98271 resulted in days away from work. Employee was sUP HOURLY in wholesale Grocer.
Where did this happen?
- Establishment
- 0642 MARYSVILLE WA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 16616 TWIN LAKES AVENUE
- City
- MARYSVILLE
- State
- WA
- ZIP
- 98271
- On-site location
- FOOD AND SUNDRY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
- Days restricted or transferred
- 7
Before the incident
walking
What happened
Tripped over pallet jack and hit head
Injury or illness
Headache Head
Object or substance involved
Floor Walking Surface
Summary line
Headache Head Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 312
- Total hours worked
- 445036
- EIN
- 911223280
- Establishment ID
- 1378572
- Employer case #
- WC608P113
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 8:30
- Filing year
- 2025
- Submitted
- 28FEB26:00:31:00
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0642 MARYSVILLE WA WHSE
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0642 MARYSVILLE WA WHSE
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0642 MARYSVILLE WA WHSE
View 0642 MARYSVILLE 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.