ANN ARBOR, MI —
OSHA Injury Report: 1106 - PITTSFIELD TOWNSHIP MI
Injury · Days away from work
At a glance
On , an injury at 1106 - PITTSFIELD TOWNSHIP MI in ANN ARBOR, MI 33626 resulted in days away from work. Employee was sTOCKER in wholesale Grocer.
Where did this happen?
- Establishment
- 1106 - PITTSFIELD TOWNSHIP MI
- Parent company
- Costco Wholesale
- Street
- 771 AIRPORT BLVD
- City
- ANN ARBOR
- State
- MI
- ZIP
- 33626
- On-site location
- book dept
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 40
Before the incident
stocking the book table
What happened
Stocking books and fell bckwards off the table hitting lower back head and left hand
Injury or illness
Bruise or Contusion Back Lower
Object or substance involved
Display
Summary line
Bruise or Contusion Back Lower Fall from Same Level Display
Employee and industry
- Job description
- STOCKER
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 330
- Total hours worked
- 486813
- EIN
- 911223280
- Establishment ID
- 1217765
- Employer case #
- WC80DG4041
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 7:00:00.000
- Submitted
- 04MAR24:19:25:00
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.