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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 cAKE DECORATOR 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
HARDLINES

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
55

Before the incident

walking to bakery

What happened

was walking towards bakery when she was struck by a forklift and she fell to the floor

Injury or illness

Bruise or Contusion Elbow Right Side

Object or substance involved

Forklift

Summary line

Bruise or Contusion Elbow Right Side Struck Against a Fixed Object Forklift

Employee and industry

Job description
CAKE DECORATOR
SOC code
51-3092 — Food Batchmakers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
338
Total hours worked
514768
EIN
911223280
Establishment ID
1217862
Employer case #
WC608G8039

When (timing detail)

Date of incident
Shift started
6:00:00.000
Time of incident
6:00:00.000
Filing year
2023
Submitted
04MAR24:19:38:00

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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.