MERRILLVILLE, IN —
OSHA Injury Report: 0370 - MERRILLVILLE IN
Injury · Days away from work
At a glance
On , an injury at 0370 - MERRILLVILLE IN in MERRILLVILLE, IN 93036 resulted in days away from work. Employee was sUP HOURLY in wholesale Grocer.
Where did this happen?
- Establishment
- 0370 - MERRILLVILLE IN
- Parent company
- Costco Wholesale
- Street
- 1310 E 79TH AVE
- City
- MERRILLVILLE
- State
- IN
- ZIP
- 93036
- On-site location
- SHIPPING
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 66
Before the incident
wrapping a pallet
What happened
employee tripped on the forks of the forklift and fell backwards Injury occured to left shoulder left wrist
Injury or illness
Bruise or Contusion Shoulder Left Side
Object or substance involved
Forklift
Summary line
Bruise or Contusion Shoulder Left Side Struck Against a Fixed Object Forklift
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 321
- Total hours worked
- 449024
- EIN
- 911223280
- Establishment ID
- 1217211
- Employer case #
- WC80DG4370
When (timing detail)
- Date of incident
- Shift started
- 14:30:00.000
- Time of incident
- 22:07:00.000
- Submitted
- 04MAR24:19:33:00
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.