VAN BUREN TWP, MI —
OSHA Injury Report: 1203 VAN BUREN TOWNSHIP MI DRY DEPOT
Injury · Days away from work
At a glance
On , an injury at 1203 VAN BUREN TOWNSHIP MI DRY DEPOT in VAN BUREN TWP, MI 48111 resulted in days away from work. Employee was eQUIP MACHINE OPER in general Warehousing and Storage.
Where did this happen?
- Establishment
- 1203 VAN BUREN TOWNSHIP MI DRY DEPOT
- Parent company
- COSTCO WHOLESALE
- Street
- 5860 BELLEVILLE RD
- City
- VAN BUREN TWP
- State
- MI
- ZIP
- 48111
- On-site location
- SHIPPING
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 70
- Days restricted or transferred
- 84
Before the incident
backing up
What happened
EE on forklift backing out of trailer he hit the dock plate that popped up
Injury or illness
Bruise or Contusion Back Lower Right and Left Side
Object or substance involved
Forklift
Summary line
Bruise or Contusion Back Lower Right and Left Side Jarring Bouncing Forklift
Employee and industry
- Job description
- EQUIP MACHINE OPER
- SOC code
- 9999 — Uncoded
- NAICS code
- 493110 — General Warehousing and Storage
- NAICS vintage
- 2022
- Avg employees
- 255
- Total hours worked
- 450102
- EIN
- 911223280
- Establishment ID
- 1378808
- Employer case #
- WC80DG8550
When (timing detail)
- Date of incident
- Shift started
- 9:00
- Time of incident
- 12:00
- Filing year
- 2024
- Submitted
- 28FEB2025:23:25:00
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.