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 sTOCKER 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
- RECEIVING
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
Before the incident
Driving forklift
What happened
Stepped off forklift with body twisted Stocking lifting diapers
Injury or illness
Strain Sprain Back Lower Right Side
Object or substance involved
Forklift
Summary line
Strain Sprain Back Lower Right Side Twisted Forklift
Employee and industry
- Job description
- STOCKER
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 455211 — WHOLESALE GROCER
- NAICS vintage
- 2022
- Avg employees
- 253
- Total hours worked
- 381565
- EIN
- 911223280
- Establishment ID
- 1217701
- Employer case #
- WC413F6134
When (timing detail)
- Date of incident
- Shift started
- 14:30:00.000
- Time of incident
- 22:30:00.000
- 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.