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 mGR DEPT W OT 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
Putting together Hobart machine
What happened
[REDACTED] was putting Hobart food processor together when his hand slipped and sliced his thumb open
Injury or illness
Laceration Thumb Right Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Laceration Thumb Right Side Holding or Carrying Tool Equipment Unclassified
Employee and industry
- Job description
- MGR DEPT W OT
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 260
- Total hours worked
- 378453
- EIN
- 911223280
- Establishment ID
- 1217854
- Employer case #
- WC413F4526
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 10:00:00.000
- 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.