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 mAINTENANCE ASST 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
- RESTROOMS
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 7
Before the incident
Cleaning toilet
What happened
Bending and cleaning the toilet Pulled lower back lumbar
Injury or illness
Strain Sprain Back Lower
Object or substance involved
Maintenance Housekeeping
Summary line
Strain Sprain Back Lower Twisted Maintenance Housekeeping
Employee and industry
- Job description
- MAINTENANCE ASST
- SOC code
- 49-9071 — Maintenance and Repair Workers, General
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 293
- Total hours worked
- 444438
- EIN
- 911223280
- Establishment ID
- 1378779
- Employer case #
- WC80DG9405
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 12:00
- 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.