LIHUE, HI —
OSHA Injury Report: 0640 KAUAI HI WHSE
Injury · Other recordable case
At a glance
On , an injury at 0640 KAUAI HI WHSE in LIHUE, HI 96766 resulted in other recordable case. Employee was tIRE INSTALLER in wholesale Grocer.
Where did this happen?
- Establishment
- 0640 KAUAI HI WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 4300 NUHOU STREET
- City
- LIHUE
- State
- HI
- ZIP
- 96766
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
dismounting a tire
What happened
dismounting a tire pry bar slipped and hit me in the face
Injury or illness
Laceration Face
Object or substance involved
Tool Equipment Unclassified
Summary line
Laceration Face Stepped In On or Off Tool Equipment Unclassified
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 270
- Total hours worked
- 401445
- EIN
- 911223280
- Establishment ID
- 1378570
- Employer case #
- WC608H4355
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 14:20
- Filing year
- 2024
- Submitted
- 28FEB2025:21:42:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.