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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Portland, OR —

OSHA Injury Report: Foodservice Pacific NW - 1017

Injury · Other recordable case

At a glance

On , an injury at Foodservice Pacific NW - 1017 in 19606 NE San Rafael St, Portland, OR 97230 resulted in other recordable case. Employee was driver Hourly.

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Where did this happen?

Establishment
Foodservice Pacific NW - 1017
Street
19606 NE San Rafael St
City
Portland
State
OR
ZIP
97230
On-site location
Unknown

What was the outcome?

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

Before the incident

Fall Slip Same Level

What happened

Driver was stacking empty wood pallets inside his trailer A slat on a pallet broke and the pallet fell onto drivers foot causing him to lose his balance and fall striking his knee As driver stood up he heard a pop and felt pain in his right knee

Injury or illness

Cause Fall Slip or Trip Injury Body Part Knee Body Part Position Detail Cause Fall Slip Same Level

Object or substance involved

Unknown

Summary line

Cause Fall Slip or Trip Injury Body Part Knee Body Part Position Detail Cause Fall Slip Same Level

Employee and industry

Job description
Driver Hourly
SOC code
9999 — Uncoded
NAICS code
424410
NAICS vintage
2022
Avg employees
153
Total hours worked
323768
EIN
840629503
Establishment ID
205907
Employer case #
1201WC2403

When (timing detail)

Date of incident
Shift started
0:00:00.000
Time of incident
3:30:00.000
Filing year
2023
Submitted
06MAR24:18:30:00

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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.