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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 1222 - GRAND CHUTE WI

Injury · Job transfer or restriction

On , an injury at 1222 - GRAND CHUTE WI in GRAND CHUTE, WI 44109 resulted in job transfer or restriction. Employee was mEMBERSHIP CLERK in wHOLESALE GROCER.

Establishment
1222 - GRAND CHUTE WI
Parent company
Costco Wholesale
Street
5401 W INTEGRITY WAY
City
GRAND CHUTE
State
WI
ZIP
44109
On-site location
Suzo
Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
5

Depositing a till into Suzo

Employee was lifting coin deposit it was heavy and fell on finger slicing skin and nail

Laceration Finger Left Side

Tool Equipment Unclassified

Laceration Finger Left Side Caught Under Tool Equipment Unclassified

Job description
MEMBERSHIP CLERK
SOC code
9999 — Uncoded
NAICS code
455211 — WHOLESALE GROCER
NAICS vintage
2022
Avg employees
253
Total hours worked
381565
EIN
911223280
Establishment ID
1217701
Employer case #
WC413F3138
Date of incident
Shift started
10:00:00.000
Time of incident
17:37:00.000
Submitted
04MAR24:19:27:00

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.