GRAND CHUTE, WI —
OSHA Injury Report: 1222 GRAND CHUTE WI WHSE
Injury · Days away from work
At a glance
On , an injury at 1222 GRAND CHUTE WI WHSE in GRAND CHUTE, WI 54913 resulted in days away from work. Employee was mGR DEPT W OT in wHOLESALE GROCER.
Where did this happen?
- Establishment
- 1222 GRAND CHUTE WI WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 5401 W INTEGRITY WAY
- City
- GRAND CHUTE
- State
- WI
- ZIP
- 54913
- On-site location
- BAKERY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 8
Before the incident
lifting items in bakery
What happened
Lifting large mixing bowl onto rack to be cleaned Felt a 'pop ' in arm
Injury or illness
Strain Sprain Arm Right Side
Object or substance involved
Bakery Mixer
Summary line
Strain Sprain Arm Right Side Lifting Bakery Mixer
Employee and industry
- Job description
- MGR DEPT W OT
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — WHOLESALE GROCER
- NAICS vintage
- 2022
- Avg employees
- 269
- Total hours worked
- 404641
- EIN
- 911223280
- Establishment ID
- 1378824
- Employer case #
- WC413G3485
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 11:00
- Filing year
- 2024
- Submitted
- 28FEB2025:21:44:00
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.