GRAND CHUTE, WI —
OSHA Injury Report: 1222 - GRAND CHUTE WI
Injury · Days away from work
At a glance
On , an injury at 1222 - GRAND CHUTE WI in GRAND CHUTE, WI 44109 resulted in days away from work. Employee was mAINTENANCE CLERK in wHOLESALE GROCER.
Where did this happen?
- Establishment
- 1222 - GRAND CHUTE WI
- Parent company
- Costco Wholesale
- Street
- 5401 W INTEGRITY WAY
- City
- GRAND CHUTE
- State
- WI
- ZIP
- 44109
- On-site location
- Meat Department Cooler
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 251
- Days restricted or transferred
- 82
Before the incident
[REDACTED] was helping with putting our meat department back together after the floors were done
What happened
[REDACTED] walked into our meat cooler and fell He hurt his left knee
Injury or illness
Fracture Knee Left Side
Object or substance involved
Floor Walking Surface
Summary line
Fracture Knee Left Side Walking Floor Walking Surface
Employee and industry
- Job description
- MAINTENANCE CLERK
- SOC code
- 49-9071 — Maintenance and Repair Workers, General
- NAICS code
- 455211 — WHOLESALE GROCER
- NAICS vintage
- 2022
- Avg employees
- 253
- Total hours worked
- 381565
- EIN
- 911223280
- Establishment ID
- 1217701
- Employer case #
- WC413F2399
When (timing detail)
- Date of incident
- Shift started
- 0:00:00.000
- Time of incident
- 6:15:00.000
- Submitted
- 04MAR24:19:27:00
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.