FORT WAYNE, IN —
OSHA Injury Report: 1161 FORT WAYNE IN WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 1161 FORT WAYNE IN WHSE in FORT WAYNE, IN 46808 resulted in job transfer or restriction. Employee was tIRE INSTALLER in wholesale Grocer.
Where did this happen?
- Establishment
- 1161 FORT WAYNE IN WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 5110 VALUE DRIVE
- City
- FORT WAYNE
- State
- IN
- ZIP
- 46808
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 87
Before the incident
Pulling a valve stem from a wheel
What happened
Employee hit himself in the face eyebrow area causing a laceration
Injury or illness
Laceration Eye
Object or substance involved
Tool Equipment Unclassified
Summary line
Laceration Eye Pulling Tool Equipment Unclassified
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 49-3093 — Tire Repairers and Changers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 294
- Total hours worked
- 444794
- EIN
- 911223280
- Establishment ID
- 1378779
- Employer case #
- WC80DP014
When (timing detail)
- Date of incident
- Time of incident
- 15:51
- 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.