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Safety Incidents OSHA Severe Injury Reports · 2015–2025

CLACKAMAS, OR —

OSHA Injury Report: 0097 - CLACKAMAS OR

Injury · Other recordable case

At a glance

On , an injury at 0097 - CLACKAMAS OR in 13130 SW 84TH AVENUE, CLACKAMAS, OR 97223 resulted in other recordable case. 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
Womens bathroom

What was the outcome?

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

Before the incident

Washing her hands

What happened

In bathroom trying to pull last paper towels out of dispenser that were stuck and dispenser door opened and struck her lip

Injury or illness

Laceration Mouth

Object or substance involved

Tool Equipment Unclassified

Summary line

Laceration Mouth Struck by a Moving Object Tool Equipment Unclassified

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 #
WC608G2843

When (timing detail)

Date of incident
Shift started
3:00:00.000
Time of incident
10:18:00.000
Submitted
04MAR24:19:40:00

More injuries at 0097 - CLACKAMAS OR

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.