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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Bonney Lake, WA —

OSHA Injury Report: 1278 - BONNEY LAKE WA

Injury · Other recordable case

At a glance

On , an injury at 1278 - BONNEY LAKE WA in 9801 204th Ave E, Bonney Lake, WA 60143 resulted in other recordable case. Employee was optical Clerk in wholesale Grocer.

Where did this happen?

Establishment
1278 - BONNEY LAKE WA
Parent company
Costco Wholesale
Street
9801 204th Ave E
City
Bonney Lake
State
WA
ZIP
60143
On-site location
optical counter

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

restarting the computer

What happened

ee had seizure while in optical dept standing at a computer hit head face on counter

Injury or illness

Seizure Head Right and Left Side

Object or substance involved

Medical Condition Idiopathic

Summary line

Seizure Head Right and Left Side Medical Condition Idiopathic Medical Condition Idiopathic

Employee and industry

Job description
Optical Clerk
SOC code
41-4010 — Sales Representatives, Wholesale and Manufacturing
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
294
Total hours worked
460841
EIN
911223280
Establishment ID
1217583
Employer case #
SY62978

When (timing detail)

Date of incident
Shift started
10:02:00.000
Time of incident
14:00:00.000
Filing year
2023
Submitted
04MAR24:19:27:00

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.