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 tIRE INSTALLER 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
- TIRE SHOP
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 92
Before the incident
changing a tire
What happened
Kneeling while changing a tire Went to stand and had sharp pain in the right knee
Injury or illness
Strain Sprain Knee Right Side
Object or substance involved
Tire Changer
Summary line
Strain Sprain Knee Right Side Pulling Tire Changer
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
- 274
- Total hours worked
- 414545
- EIN
- 911223280
- Establishment ID
- 1378824
- Employer case #
- WC413G475
When (timing detail)
- Date of incident
- Time of incident
- 12:10
- 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.