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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 mEMBERSHIP CLERK 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
MEMBERSHIP

What was the outcome?

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

Before the incident

Refunds

What happened

Refunding on Reg 121 foor slipped on the mat and put pressure on knee

Injury or illness

Strain Sprain Knee Right Side

Object or substance involved

Floor Walking Surface

Summary line

Strain Sprain Knee Right Side Stepped In On or Off Floor Walking Surface

Employee and industry

Job description
MEMBERSHIP CLERK
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 #
WC608G7836

When (timing detail)

Date of incident
Shift started
9:30:00.000
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.