BELLEVUE, WI —
OSHA Injury Report: 1162 - BELLEVUE WI
Injury · Other recordable case
At a glance
On , an injury at 1162 - BELLEVUE WI in BELLEVUE, WI 29466 resulted in other recordable case. Employee was auditor 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
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking
What happened
[REDACTED] went back to help the Service Deli Department He slipped and fell in the department and hit his head on the floor
Injury or illness
Laceration Head Left Side
Object or substance involved
Floor Walking Surface
Summary line
Laceration Head Left Side Fall from liquid spill or grease Floor Walking Surface
Employee and industry
- Job description
- Auditor
- SOC code
- 13-2011 — Accountants and Auditors
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 260
- Total hours worked
- 378453
- EIN
- 911223280
- Establishment ID
- 1217854
- Employer case #
- WC413F6010
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 9:55:00.000
- 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.