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Safety Incidents OSHA Severe Injury Reports · 2015–2025

LACEY, WA —

OSHA Injury Report: 0740 - LACEY WA

Injury · Job transfer or restriction

At a glance

On , an injury at 0740 - LACEY WA in 1470 MARVIN ROAD NORTHEAST, LACEY, WA 94509 resulted in job transfer or restriction. Employee was tIRE INSTALLER in wholesale Grocer.

Where did this happen?

Establishment
0740 - LACEY WA
Parent company
Costco Wholesale
Street
1470 MARVIN ROAD NORTHEAST
City
LACEY
State
WA
ZIP
94509
On-site location
Tire Shop

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
9

Before the incident

Using the floor [REDACTED]

What happened

EE hit their head with the handle of the floor [REDACTED]

Injury or illness

Concussion Head

Object or substance involved

Tire Center Floor Jack

Summary line

Concussion Head Caught by Fixed Object Tire Center Floor [REDACTED]

Employee and industry

Job description
TIRE INSTALLER
SOC code
49-3093 — Tire Repairers and Changers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
319
Total hours worked
467888
EIN
911223280
Establishment ID
1217184
Employer case #
SY63008

When (timing detail)

Date of incident
Shift started
11:45:00.000
Time of incident
13:45:00.000
Submitted
04MAR24:19:38:00

More injuries at 0740 - LACEY WA

View 0740 - LACEY 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.