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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Lake Stevens, WA —

OSHA Injury Report: 1588 - LAKE STEVENS WA

Injury · Days away from work

At a glance

On , an injury at 1588 - LAKE STEVENS WA in 9210 24th Street SE, Lake Stevens, WA 98258 resulted in days away from work. Employee was sTOCKER in wholesale Grocer.

Where did this happen?

Establishment
1588 - LAKE STEVENS WA
Parent company
Costco Wholesale
Street
9210 24th Street SE
City
Lake Stevens
State
WA
ZIP
98258
On-site location
HARDLINES

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
4

Before the incident

stocking

What happened

While stocking wa talking to a forklift driver and when I stepped back I tripped over a pallet jack falling backwards

Injury or illness

Bruise or Contusion Arm Left Side

Object or substance involved

Pallet Jack Manual

Summary line

Bruise or Contusion Arm Left Side Caught by Fixed Object Pallet Jack Manual

Employee and industry

Job description
STOCKER
SOC code
53-7065 — Stockers and Order Fillers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
285
Total hours worked
449689
EIN
911223280
Establishment ID
1217058
Employer case #
SX14754

When (timing detail)

Date of incident
Shift started
4:00:00.000
Time of incident
7:00:00.000
Filing year
2023
Submitted
04MAR24:19:30:00

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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.