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Safety Incidents OSHA Severe Injury Reports · 2015–2025

WILSONVILLE, OR —

OSHA Injury Report: 0766 - WILSONVILLE OR

Injury · Job transfer or restriction

At a glance

On , an injury at 0766 - WILSONVILLE OR in 25900 SOUTHWEST HEATHER PLACE, WILSONVILLE, OR 28405 resulted in job transfer or restriction. Employee was fOOD SERVICE in wholesale Grocer.

Where did this happen?

Establishment
0766 - WILSONVILLE OR
Parent company
Costco Wholesale
Street
25900 SOUTHWEST HEATHER PLACE
City
WILSONVILLE
State
OR
ZIP
28405
On-site location
FOOD COURT

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
10

Before the incident

cleaning the floors

What happened

Cleaning the floors drain cover was off mis stepped and tripped backwards

Injury or illness

Strain Sprain Back Upper Left Side

Object or substance involved

Floor Walking Surface

Summary line

Strain Sprain Back Upper Left Side Fall from Same Level Floor Walking Surface

Employee and industry

Job description
FOOD SERVICE
SOC code
9999 — Uncoded
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
338
Total hours worked
514768
EIN
911223280
Establishment ID
1217862
Employer case #
WC608G6959

When (timing detail)

Date of incident
Shift started
14:28:00.000
Time of incident
20:30:00.000
Submitted
04MAR24:19:38:00

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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.