ANN ARBOR, MI —
OSHA Injury Report: 1106 PITTSFIELD TOWNSHIP MI WHSE
Injury · Days away from work
At a glance
On , an injury at 1106 PITTSFIELD TOWNSHIP MI WHSE in ANN ARBOR, MI 48108 resulted in days away from work. Employee was sERVICE DELI CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 1106 PITTSFIELD TOWNSHIP MI WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 771 AIRPORT BLVD
- City
- ANN ARBOR
- State
- MI
- ZIP
- 48108
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 114
Before the incident
Removing empty chicken boxes to the trash
What happened
Slipped outside chicken room door in the coolerr removing empty chicken boxes to trash
Injury or illness
Concussion Head
Object or substance involved
Floor Walking Surface
Summary line
Concussion Head Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 341
- Total hours worked
- 505975
- EIN
- 911223280
- Establishment ID
- 1378754
- Employer case #
- WC80DP049
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 15:15
- 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.