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
- WALK IN FREEZER
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 84
Before the incident
Driving a forklift for the Freezer
What happened
[REDACTED] was picking up bags of ice in the freezer that had fallen and he slipped and hit his head and back
Injury or illness
Bruise or Contusion Back Upper
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Back Upper Fall on Ice or Snow Floor Walking Surface
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 #
- WC413G638
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.