Ann Arbor, MI —
OSHA Injury Report: 10167 Ann Arbor
Injury · Other recordable case
At a glance
On , an injury at 10167 Ann Arbor in Ann Arbor, MI 48104 resulted in other recordable case. Employee was s In Store Shopper.
Where did this happen?
- Establishment
- 10167 Ann Arbor
- Street
- 3135 Washtenaw
- City
- Ann Arbor
- State
- MI
- ZIP
- 48104
- On-site location
- Grocery
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
EE STATES WAS PICKING UP BOX TO CART WHILE LIFTING BOX STRUCK RIGHT [REDACTED] ON THE METAL SHELF CAUSING CUT BRUISING AND NUMBNESS.
What happened
Strike Against Step On Stationary or Moving Object s
Injury or illness
Strain Sprain
Object or substance involved
Metal item
Summary line
1.Injury 2.Elbow 3.Contusion on right elbow
Employee and industry
- Job description
- S In Store Shopper
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110
- NAICS vintage
- 2022
- Avg employees
- 200
- Total hours worked
- 263886
- EIN
- 521711175
- Establishment ID
- 715521
- Employer case #
- 0005771967
When (timing detail)
- Date of incident
- Shift started
- 9:56:00.000
- Time of incident
- 12:30:00.000
- Submitted
- 28FEB24:22:32:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.