CLACKAMAS, OR —
OSHA Injury Report: 0097 - CLACKAMAS OR
Injury · Job transfer or restriction
At a glance
On , an injury at 0097 - CLACKAMAS OR in 13130 SW 84TH AVENUE, CLACKAMAS, OR 97223 resulted in job transfer or restriction. Employee was sTOCKER in wholesale Grocer.
Where did this happen?
- Establishment
- 0097 - CLACKAMAS OR
- Parent company
- Costco Wholesale
- Street
- 13130 SW 84TH AVENUE
- City
- CLACKAMAS
- State
- OR
- ZIP
- 97223
- On-site location
- FOOD AND SUNDRY
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 83
Before the incident
stocking
What happened
Pulling product forward and felt a pop in my left rib
Injury or illness
Strain Sprain Chest Left Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Chest Left Side Pulling Merchandise
Employee and industry
- Job description
- STOCKER
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 473
- Total hours worked
- 699046
- EIN
- 911223280
- Establishment ID
- 1217100
- Employer case #
- WC608G4505
When (timing detail)
- Date of incident
- Shift started
- 4:00:00.000
- Time of incident
- 6:30:00.000
- Submitted
- 04MAR24:19:40:00
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View 0097 - CLACKAMAS OR's full OSHA safety record →
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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.