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Safety Incidents OSHA Severe Injury Reports · 2015–2025

EVERETT, WA —

OSHA Injury Report: 0114 - EVERETT WA

Injury · Job transfer or restriction

At a glance

On , an injury at 0114 - EVERETT WA in 10200 19TH AVENUE SE, EVERETT, WA 92243 resulted in job transfer or restriction. Employee was bAKERY WRAPPER 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
BAKERY

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
131

Before the incident

cleaning bakery

What happened

Was mopping and walked backwards and fell R leg in and L leg half way in dishwasher pit Bumped head and back

Injury or illness

Strain Sprain Back Lower Right and Left Side

Object or substance involved

Tool Equipment Unclassified

Summary line

Strain Sprain Back Lower Right and Left Side Fall from Different Level Tool Equipment Unclassified

Employee and industry

Job description
BAKERY WRAPPER
SOC code
53-7064 — Packers and Packagers, Hand
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
320
Total hours worked
458078
EIN
911223280
Establishment ID
1217242
Employer case #
SY63479

When (timing detail)

Date of incident
Shift started
13:45:00.000
Time of incident
18:50:00.000
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.