GRAND RAPIDS, MI —
OSHA Injury Report: 0784 GRAND RAPIDS MI WHSE
Injury · Other recordable case
At a glance
On , an injury at 0784 GRAND RAPIDS MI WHSE in GRAND RAPIDS, MI 49512 resulted in other recordable case. Employee was fORKLIFT DRIVER in wholesale Grocer.
Where did this happen?
- Establishment
- 0784 GRAND RAPIDS MI WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 5100 28TH ST SE
- City
- GRAND RAPIDS
- State
- MI
- ZIP
- 49512
- On-site location
- FOOD AND SUNDRY
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Driving forklift hanging pallets
What happened
Hanging a double stack in A steel Relized it was to high hit the pipe Went to remove and it hit the pipe metal fell
Injury or illness
Laceration Head
Object or substance involved
Tool Equipment Unclassified
Summary line
Laceration Head Struck by a falling or flying object Tool Equipment Unclassified
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051 — Industrial Truck and Tractor Operators
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 295
- Total hours worked
- 435837
- EIN
- 911223280
- Establishment ID
- 1378667
- Employer case #
- WC80DP114
When (timing detail)
- Date of incident
- Shift started
- 3:15
- Time of incident
- 7:15
- Filing year
- 2025
- Submitted
- 28FEB26:00:32:00
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.