GRANGER, IN —
OSHA Injury Report: 1183 - MISHAWAKA IN
Injury · Job transfer or restriction
At a glance
On , an injury at 1183 - MISHAWAKA IN in GRANGER, IN 60523 resulted in job transfer or restriction. Employee was tIRE INSTALLER in wholesale Grocer.
Where did this happen?
- Establishment
- 1183 - MISHAWAKA IN
- Parent company
- Costco Wholesale
- Street
- 625 E UNIVERSITY DRIVE
- City
- GRANGER
- State
- IN
- ZIP
- 60523
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 10
Before the incident
painting a bottom of door rust
What happened
Stood up took step ahead felt pain in left knee to foot
Injury or illness
Unknown Knee Left Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Unknown Knee Left Side Work Place Environment Tool Equipment Unclassified
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 49-3093 — Tire Repairers and Changers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 323
- Total hours worked
- 462182
- EIN
- 911223280
- Establishment ID
- 1217561
- Employer case #
- WC80DG1952
When (timing detail)
- Date of incident
- Shift started
- 9:45:00.000
- Time of incident
- 15:30:00.000
- 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.