ROSEVILLE, MI —
OSHA Injury Report: 0394 ROSEVILLE MI WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0394 ROSEVILLE MI WHSE in ROSEVILLE, MI 48066 resulted in job transfer or restriction. Employee was mGR DEPT in wholesale Grocer.
Where did this happen?
- Establishment
- 0394 ROSEVILLE MI WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 27118 GRATIOT AVENUE
- City
- ROSEVILLE
- State
- MI
- ZIP
- 48066
- On-site location
- WALK IN COOLER
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 40
Before the incident
stocking
What happened
was inside cooler and forklift came in I was holding a box lift hit box pushed me into a rack
Injury or illness
Inflammation swelling Back Lower Right and Left Side
Object or substance involved
Forklift
Summary line
Inflammation swelling Back Lower Right and Left Side Jarring Bouncing Forklift
Employee and industry
- Job description
- MGR DEPT
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 278
- Total hours worked
- 390112
- EIN
- 911223280
- Establishment ID
- 1378484
- Employer case #
- WC80DH097
When (timing detail)
- Date of incident
- Shift started
- 4:00
- Time of incident
- 9:20
- 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.