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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.

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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
Wingstop 1839 Parking lot

What was the outcome?

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

Before the incident

Strain Injury by Lifting

What happened

[REDACTED] reported he injured his shoulder while delivering to [REDACTED] on [REDACTED] [REDACTED]

Injury or illness

Cause Strain or Injury By Body Part Upper Arm Including Clavicle Scapula Body Part Position Detail Cause Strain Injury by Lifting

Object or substance involved

Food Product

Summary line

Cause Strain or Injury By Body Part Upper Arm Including Clavicle Scapula Body Part Position Detail Cause Strain Injury by Lifting

Employee and industry

Job description
Driver
SOC code
53-3033 — Light Truck Drivers
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
1:12:00.000
Time of incident
3:00:00.000
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.