Grand Rapids, MI ·
OSHA Injury Report: MI-WYOMI04
Injury · Days away from work
At a glance
On , an injury at MI-WYOMI04 in 4990 Clay Ave, Grand Rapids, MI 49548 resulted in days away from work. Employee was driver VAN delivery store in supermarkets and Other Grocery Retailers (except Convenience Retailers).
Where did this happen?
- Establishment
- MI-WYOMI04
- Parent company
- Gordon Food Service
- Street
- 4990 Clay Ave
- City
- Grand Rapids
- State
- MI
- ZIP
- 49548
- On-site location
- marketplace
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 14
Before the incident
EE STATES WHILE DRIVING TO LAST DELIVERY FOR THE INVOLVED IN MVA CAUSING INJURY TO HEAD WITH LIGHT SENSITIVITY HEADACHE FATIGUE
What happened
EE STATES WHILE DRIVING TO LAST DELIVERY FOR THE INVOLVED IN MVA CAUSING INJURY TO HEAD WITH LIGHT SENSITIVITY HEADACHE FATIGUE
Injury or illness
Contusion bruise
Object or substance involved
Vehicle - van
Summary line
EE STATES WHILE DRIVING TO LAST DELIVERY FOR THE INVOLVED IN MVA CAUSING INJURY TO HEAD WITH LIGHT SENSITIVITY HEADACHE FATIGUE
Employee and industry
- Job description
- DRIVER VAN DELIVERY STORE
- SOC code
- 53-3033: Light Truck Drivers
- NAICS code
- 445110: Supermarkets and Other Grocery Retailers (except Convenience Retailers)
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 35
- Hours worked at this establishment (2023 total)
- 45,328
- EIN
- 161675916
- Establishment ID
- 1037700
- Employer case #
- 0090780285
When (timing detail)
- Date of incident
- Time of incident
- 12:45
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Mi-Wyomi04
View Mi-Wyomi04's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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