GRANGER, IN —
OSHA Injury Report: 1183 MISHAWAKA IN WHSE
Injury · Days away from work
At a glance
On , an injury at 1183 MISHAWAKA IN WHSE in GRANGER, IN 46530 resulted in days away from work. Employee was mGR DEPT in wholesale Grocer.
Where did this happen?
- Establishment
- 1183 MISHAWAKA IN WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 625 E UNIVERSITY DRIVE
- City
- GRANGER
- State
- IN
- ZIP
- 46530
- On-site location
- WALK IN COOLER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 96
- Days restricted or transferred
- 76
Before the incident
picking stock
What happened
Trippped over pallet and fell on left shoulder
Injury or illness
Strain Sprain Shoulder Left Side
Object or substance involved
Pallet
Summary line
Strain Sprain Shoulder Left Side Stepped In On or Off Pallet
Employee and industry
- Job description
- MGR DEPT
- SOC code
- 41-1012 — First-Line Supervisors of Non-Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 324
- Total hours worked
- 463793
- EIN
- 911223280
- Establishment ID
- 1378792
- Employer case #
- WC80DG7599
When (timing detail)
- Date of incident
- Shift started
- 4:00
- Time of incident
- 5:00
- 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.