GRAND CHUTE, WI —
OSHA Injury Report: 1222 GRAND CHUTE WI WHSE
Injury · Days away from work
At a glance
On , an injury at 1222 GRAND CHUTE WI WHSE in GRAND CHUTE, WI 54913 resulted in days away from work. 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
- OUTSIDE PERIMETER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
- Days restricted or transferred
- 21
Before the incident
Walking out to his vehicle after shift
What happened
Employee was walking to his car after shift slipped on ice causing him to hit his head
Injury or illness
Concussion Head
Object or substance involved
Floor Walking Surface
Summary line
Concussion Head 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 #
- WC413M075
When (timing detail)
- Date of incident
- Shift started
- 14:30
- Time of incident
- 23:06
- 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.