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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 sUP HOURLY 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
SEASONAL

What was the outcome?

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

Before the incident

Moving Tpole

What happened

Moving Tpole with dart board display and display fell on his head

Injury or illness

Bruise or Contusion Head Right and Left Side

Object or substance involved

Display

Summary line

Bruise or Contusion Head Right and Left Side Object Handled Display

Employee and industry

Job description
SUP HOURLY
SOC code
41-1011 — First-Line Supervisors of Retail Sales Workers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
338
Total hours worked
514768
EIN
911223280
Establishment ID
1217862
Employer case #
WC608G7913

When (timing detail)

Date of incident
Shift started
2:00:00.000
Time of incident
5:28:00.000
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.