GRAND CHUTE, WI —
OSHA Injury Report: 1222 - GRAND CHUTE WI
Injury · Other recordable case
At a glance
On , an injury at 1222 - GRAND CHUTE WI in GRAND CHUTE, WI 44109 resulted in other recordable case. Employee was mGR DEPT W OT 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
- HARDLINES
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Stocking Lifting
What happened
Sprained and overworked shoulder from lifting stocking Got really bad in [REDACTED]
Injury or illness
Strain Sprain Shoulder Left Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Shoulder Left Side Lifting Merchandise
Employee and industry
- Job description
- MGR DEPT W OT
- 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 #
- WC413F7245
When (timing detail)
- Date of incident
- Shift started
- 3:45:00.000
- 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.