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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Lake Stevens, WA —

OSHA Injury Report: 1588 - LAKE STEVENS WA

Injury · Job transfer or restriction

At a glance

On , an injury at 1588 - LAKE STEVENS WA in 9210 24th Street SE, Lake Stevens, WA 98258 resulted in job transfer or restriction. Employee was mGR STAFF 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
RECEIVING

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
14

Before the incident

using a sledgehammer

What happened

using sledgehammer to break apart a pallet board came loose and slammed into the back of head

Injury or illness

Laceration Head

Object or substance involved

Tool Equipment Unclassified

Summary line

Laceration Head Struck by a falling or flying object Tool Equipment Unclassified

Employee and industry

Job description
MGR STAFF
SOC code
9999 — Uncoded
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
285
Total hours worked
449689
EIN
911223280
Establishment ID
1217058
Employer case #
SX14906

When (timing detail)

Date of incident
Shift started
4:00:00.000
Time of incident
12:00:00.000
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.