Grand Rapids, MI ·
OSHA Injury Report: MI-WYOMI04
Injury · Job transfer or restriction
At a glance
On , an injury at MI-WYOMI04 in 4990 Clay Ave, Grand Rapids, MI 49548 resulted in job transfer or restriction. 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
- van
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 14
Before the incident
EE STATES WHILE LOADING DELIVERY VAN LIFTED BOX FELT SUDDEN SENSATION IN LOWER BACK CAUSING PINCHING.
What happened
EE STATES WHILE LOADING DELIVERY VAN LIFTED BOX FELT SUDDEN SENSATION IN LOWER BACK CAUSING PINCHING.
Injury or illness
Strain
Object or substance involved
Box barrel container
Summary line
EE STATES WHILE LOADING DELIVERY VAN LIFTED BOX FELT SUDDEN SENSATION IN LOWER BACK CAUSING PINCHING.
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 #
- 0090780301
When (timing detail)
- Date of incident
- Time of incident
- 10:15
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Mi-Wyomi04
View Mi-Wyomi04's full OSHA safety record →
More injuries in this industry (NAICS 445110)
More injuries in MI
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.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.