FORT WAYNE, IN —
OSHA Injury Report: 1161 FORT WAYNE IN WHSE
Injury · Other recordable case
At a glance
On , an injury at 1161 FORT WAYNE IN WHSE in FORT WAYNE, IN 46808 resulted in other recordable case. Employee was sUP HOURLY 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
- TIRE SHOP
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
using metal pipe to loosen lug nuts out of socket
What happened
[REDACTED] injured his thumb and immediately passed out hitting his head
Injury or illness
Bruise or Contusion Head Right and Left Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Bruise or Contusion Head Right and Left Side Hand Tool Tool Equipment Unclassified
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 293
- Total hours worked
- 444438
- EIN
- 911223280
- Establishment ID
- 1378779
- Employer case #
- WC80DH0357
When (timing detail)
- Date of incident
- Shift started
- 9:30
- Time of incident
- 12:40
- 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.