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WILSONVILLE, OR —

OSHA Injury Report: 0766 - WILSONVILLE OR

Injury · Other recordable case

At a glance

On , an injury at 0766 - WILSONVILLE OR in 25900 SOUTHWEST HEATHER PLACE, WILSONVILLE, OR 28405 resulted in other recordable case. Employee was mAINTENANCE ASST 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
Breakroom store room

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

Putting away supplies in store room

What happened

Lifting overhead box slipped off shelf He caught it felt pain in R shoulder

Injury or illness

Strain Sprain Shoulder Right Side

Object or substance involved

Merchandise

Summary line

Strain Sprain Shoulder Right Side Lifting Merchandise

Employee and industry

Job description
MAINTENANCE ASST
SOC code
49-9071 — Maintenance and Repair Workers, General
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
338
Total hours worked
514768
EIN
911223280
Establishment ID
1217862
Employer case #
WC608G2948

When (timing detail)

Date of incident
Shift started
4:00:00.000
Time of incident
12:10:00.000
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.