GRAND RAPIDS, MI —
OSHA Injury Report: 0784 GRAND RAPIDS MI WHSE
Injury · Days away from work
At a glance
On , an injury at 0784 GRAND RAPIDS MI WHSE in GRAND RAPIDS, MI 49512 resulted in days away from work. Employee was mAINTENANCE ASST 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
- RECEIVING
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 66
Before the incident
Checking the Fleet bathroom
What happened
Walking on the outside perimeter of building employee slipped on ice and fell
Injury or illness
Bruise or Contusion Elbow Left Side
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Elbow Left Side Fall on Ice or Snow Floor Walking Surface
Employee and industry
- Job description
- MAINTENANCE ASST
- SOC code
- 37-2011 — Janitors and Cleaners, Except Maids and Housekeeping Cleaners
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 295
- Total hours worked
- 435837
- EIN
- 911223280
- Establishment ID
- 1378667
- Employer case #
- WC80DP099
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 15:45
- 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.