WAYNE, NJ —
OSHA Injury Report: 1177 WAYNE NJ WHSE
Injury · Days away from work
At a glance
On , an injury at 1177 WAYNE NJ WHSE in WAYNE, NJ 7470 resulted in days away from work. Employee was sERVICE DELI CLERK in wHOLESALE GROCER.
Where did this happen?
- Establishment
- 1177 WAYNE NJ WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 149 STATE ROUTE 23
- City
- WAYNE
- State
- NJ
- ZIP
- 7470
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 133
Before the incident
working for concurrent employer not for Costco
What happened
IW was working for his concurrent employer when he sustained an injury to his right ankle Claim created against Costco
Injury or illness
Bruise or Contusion Ankle Right Side
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Ankle Right Side Fall on Ice or Snow 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
- 415
- Total hours worked
- 631173
- EIN
- 911223280
- Establishment ID
- 1378789
- Employer case #
- WC205F086
When (timing detail)
- Date of incident
- 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.