GRAND CHUTE, WI —
OSHA Injury Report: 1222 GRAND CHUTE WI WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 1222 GRAND CHUTE WI WHSE in GRAND CHUTE, WI 54913 resulted in job transfer or restriction. Employee was fORKLIFT DRIVER in wHOLESALE GROCER.
Where did this happen?
- Establishment
- 1222 GRAND CHUTE WI WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 5401 W INTEGRITY WAY
- City
- GRAND CHUTE
- State
- WI
- ZIP
- 54913
- On-site location
- HABA
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 81
Before the incident
Helping Driver a forklift
What happened
[REDACTED] tweeked his right shoulder when helping team lift while stocking
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Shoulder Right Side Lifting Merchandise
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
- 274
- Total hours worked
- 414545
- EIN
- 911223280
- Establishment ID
- 1378824
- Employer case #
- WC413G512
When (timing detail)
- Date of incident
- Shift started
- 4:00
- Time of incident
- 8:00
- 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.