Bismarck, ND —
OSHA Injury Report: 1380 - BISMARCK ND
Injury · Other recordable case
At a glance
On , an injury at 1380 - BISMARCK ND in Bismarck, ND 58503 resulted in other recordable case. Employee was mEMBER SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 1380 - BISMARCK ND
- Parent company
- Costco Wholesale
- Street
- 1325 NE 57th Ave.
- City
- Bismarck
- State
- ND
- ZIP
- 58503
- On-site location
- Quiet room in Break area
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
trying to lift feet
What happened
on break in Quiet Room lifted feet to place on bottom shelve Chair on rollers flipped back and fell to floor on right
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Maintenance Housekeeping
Summary line
Strain Sprain Shoulder Right Side Reaching Maintenance Housekeeping
Employee and industry
- Job description
- MEMBER SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 198
- Total hours worked
- 309151
- EIN
- 911223280
- Establishment ID
- 1217596
- Employer case #
- M138023014
When (timing detail)
- Date of incident
- Shift started
- 9:45:00.000
- Time of incident
- 13:56:00.000
- Submitted
- 04MAR24:19:29:00
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.