GRAND RAPIDS, MI —
OSHA Injury Report: 0784 GRAND RAPIDS MI WHSE
Injury · Days away from work
At a glance
On , an injury at 0784 GRAND RAPIDS MI WHSE in GRAND RAPIDS, MI 49512 resulted in days away from work. Employee was mEMBER SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 0784 GRAND RAPIDS MI WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 5100 28TH ST SE
- City
- GRAND RAPIDS
- State
- MI
- ZIP
- 49512
- On-site location
- BAKERY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 140
- Days restricted or transferred
- 40
Before the incident
Icing cakes
What happened
While icing cakes the employee reached to her side to put a cake back on a rack She felt a pop pain in her upper arm
Injury or illness
Strain Sprain Arm Right Side
Object or substance involved
Tray
Summary line
Strain Sprain Arm Right Side Holding or Carrying Tray
Employee and industry
- Job description
- MEMBER SERVICE
- SOC code
- 43-4051 — Customer Service Representatives
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 296
- Total hours worked
- 444280
- EIN
- 911223280
- Establishment ID
- 1378667
- Employer case #
- WC80DG7291
When (timing detail)
- Date of incident
- Shift started
- 9:00
- Filing year
- 2024
- Submitted
- 28FEB2025:21:43:00
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.