BELLEVUE, WI —
OSHA Injury Report: 1162 BELLEVUE WI WHSE
Injury · Other recordable case
At a glance
On , an injury at 1162 BELLEVUE WI WHSE in BELLEVUE, WI 54311 resulted in other recordable case. Employee was tIRE INSTALLER in wholesale Grocer.
Where did this happen?
- Establishment
- 1162 BELLEVUE WI WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 2355 Costco Way
- City
- BELLEVUE
- State
- WI
- ZIP
- 54311
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
lifting rim
What happened
[REDACTED] was installing a double wide rim on a vehicle in bay two when lifting felt pressure
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Tire
Summary line
Strain Sprain Shoulder Right Side Lifting Tire
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
- 286
- Total hours worked
- 412043
- EIN
- 911223280
- Establishment ID
- 1378780
- Employer case #
- WC413M103
When (timing detail)
- Date of incident
- Time of incident
- 18:00
- 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.