FORT WAYNE, IN —
OSHA Injury Report: 1161 FORT WAYNE IN WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 1161 FORT WAYNE IN WHSE in FORT WAYNE, IN 46808 resulted in job transfer or restriction. Employee was sTOCKER in wholesale Grocer.
Where did this happen?
- Establishment
- 1161 FORT WAYNE IN WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 5110 VALUE DRIVE
- City
- FORT WAYNE
- State
- IN
- ZIP
- 46808
- On-site location
- WALK IN FREEZER
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 8
Before the incident
working
What happened
Lifting box of chicken to shelf when raising box to shelf felt a pop in both shoulders
Injury or illness
Strain Sprain Shoulder Right and Left Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Shoulder Right and Left Side Lifting Merchandise
Employee and industry
- Job description
- STOCKER
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 293
- Total hours worked
- 444438
- EIN
- 911223280
- Establishment ID
- 1378779
- Employer case #
- WC80DG8487
When (timing detail)
- Date of incident
- Shift started
- 4:15
- Time of incident
- 6:00
- 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.