FORT WAYNE, IN —
OSHA Injury Report: 1161 - FORT WAYNE IN
Injury · Job transfer or restriction
At a glance
On , an injury at 1161 - FORT WAYNE IN in FORT WAYNE, IN 91752 resulted in job transfer or restriction. Employee was cASHIER in wholesale Grocer.
Where did this happen?
- Establishment
- 1161 - FORT WAYNE IN
- Parent company
- Costco Wholesale
- Street
- 5110 VALUE DRIVE
- City
- FORT WAYNE
- State
- IN
- ZIP
- 91752
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 112
Before the incident
Loading groceries into member s cart
What happened
Tripped on box after putting item in cart
Injury or illness
Bruise or Contusion Knee Left Side
Object or substance involved
Cardboard
Summary line
Bruise or Contusion Knee Left Side Holding or Carrying Cardboard
Employee and industry
- Job description
- CASHIER
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 273
- Total hours worked
- 417552
- EIN
- 911223280
- Establishment ID
- 1217278
- Employer case #
- WC80DG3613
When (timing detail)
- Date of incident
- Shift started
- 10:00:00.000
- Time of incident
- 12:00:00.000
- Submitted
- 04MAR24:19:26:00
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.