SHELBY TOWNSHIP, MI —
OSHA Injury Report: 0374 - LAKESIDE MI
Injury · Days away from work
At a glance
On , an injury at 0374 - LAKESIDE MI in SHELBY TOWNSHIP, MI 85260 resulted in days away from work. Employee was fOOD SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 0374 - LAKESIDE MI
- Parent company
- Costco Wholesale
- Street
- 45460 MARKET STREET
- City
- SHELBY TOWNSHIP
- State
- MI
- ZIP
- 85260
- On-site location
- FOOD COURT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 29
Before the incident
Taking pre made salads to the food court cooler
What happened
[REDACTED] slipped and fell backwards working in the food court As she fell she struck her head and back
Injury or illness
Strain Sprain Back Lower Right and Left Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Back Lower Right and Left Side Fall from liquid spill or grease Floor Walking Surface
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 338
- Total hours worked
- 475377
- EIN
- 911223280
- Establishment ID
- 1217350
- Employer case #
- WC80DG3893
When (timing detail)
- Date of incident
- Shift started
- 12:00:00.000
- Time of incident
- 20:00:00.000
- 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.