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Safety Incidents OSHA Severe Injury Reports · 2015–2025

EVERETT, WA —

OSHA Injury Report: 0114 - EVERETT WA

Injury · Days away from work

At a glance

On , an injury at 0114 - EVERETT WA in 10200 19TH AVENUE SE, EVERETT, WA 92243 resulted in days away from work. Employee was sERVICE DELI CLERK in wholesale Grocer.

Where did this happen?

Establishment
0114 - EVERETT WA
Parent company
Costco Wholesale
Street
10200 19TH AVENUE SE
City
EVERETT
State
WA
ZIP
92243
On-site location
Deli Chicken room

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
1

Before the incident

Taking item to member

What happened

Walking through chicken room Slipped and fell hitting head on hand wash sink

Injury or illness

Laceration Head

Object or substance involved

Floor Walking Surface

Summary line

Laceration Head Fall from Same Level Floor Walking Surface

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
320
Total hours worked
458078
EIN
911223280
Establishment ID
1217242
Employer case #
SY62998

When (timing detail)

Date of incident
Shift started
14:00:00.000
Time of incident
20:10:00.000
Submitted
04MAR24:19:26:00

More injuries at 0114 - EVERETT WA

View 0114 - EVERETT WA's full OSHA safety record →

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.