BELLEVUE, WI —
OSHA Injury Report: 1162 - BELLEVUE WI
Injury · Job transfer or restriction
At a glance
On , an injury at 1162 - BELLEVUE WI in BELLEVUE, WI 29466 resulted in job transfer or restriction. Employee was sTOCKER in wholesale Grocer.
Where did this happen?
- Establishment
- 1162 - BELLEVUE WI
- Parent company
- Costco Wholesale
- Street
- 2355 Costco Way
- City
- BELLEVUE
- State
- WI
- ZIP
- 29466
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 15
Before the incident
Getting ready to skewer chickens
What happened
Slipped on the floor in the raw room
Injury or illness
Inflammation swelling Hand Right Side
Object or substance involved
Floor Walking Surface
Summary line
Inflammation swelling Hand Right Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- STOCKER
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 260
- Total hours worked
- 378453
- EIN
- 911223280
- Establishment ID
- 1217854
- Employer case #
- WC413F4564
When (timing detail)
- Date of incident
- Shift started
- 13:30:00.000
- Time of incident
- 13:45:00.000
- 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.