SHELBY TOWNSHIP, MI —
OSHA Injury Report: 0374 LAKESIDE MI WHSE
Injury · Days away from work
At a glance
On , an injury at 0374 LAKESIDE MI WHSE in SHELBY TOWNSHIP, MI 48315 resulted in days away from work. Employee was sUP HOURLY in wholesale Grocer.
Where did this happen?
- Establishment
- 0374 LAKESIDE MI WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 45460 MARKET STREET
- City
- SHELBY TOWNSHIP
- State
- MI
- ZIP
- 48315
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 11
- Days restricted or transferred
- 26
Before the incident
Employee was placing arms under car to lift a vehicle
What happened
Employee was struck in the back of the head by an impact gun Holster gave out when another emplyee placed it holder
Injury or illness
Bruise or Contusion Head
Object or substance involved
Tool Equipment Unclassified
Summary line
Bruise or Contusion Head Struck by a falling or flying object Tool Equipment Unclassified
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 338
- Total hours worked
- 500701
- EIN
- 911223280
- Establishment ID
- 1378469
- Employer case #
- WC80DH220
When (timing detail)
- Date of incident
- Shift started
- 8:30
- Time of incident
- 12:15
- Filing year
- 2025
- Submitted
- 28FEB26:00:31:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.