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 fORKLIFT DRIVER 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
- FOOD AND SUNDRY
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 18
Before the incident
Breaking corner piece of pallet
What happened
Trying to break corner piece on pallet Knee gave out and fell backwards Twisted left knee
Injury or illness
Strain Sprain Knee Left Side
Object or substance involved
Pallet
Summary line
Strain Sprain Knee Left Side Pulling Pallet
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
- 294
- Total hours worked
- 444794
- EIN
- 911223280
- Establishment ID
- 1378779
- Employer case #
- WC80DH308
When (timing detail)
- Date of incident
- Time of incident
- 8:20
- 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.