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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 0374 - LAKESIDE MI

Injury · Days away from work

On , an injury at 0374 - LAKESIDE MI in SHELBY TOWNSHIP, MI 85260 resulted in days away from work. Employee was mEMBERSHIP CLERK in wholesale Grocer.

Establishment
0374 - LAKESIDE MI
Parent company
Costco Wholesale
Street
45460 MARKET STREET
City
SHELBY TOWNSHIP
State
MI
ZIP
85260
On-site location
MEMBERSHIP
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
2

Cleaning

[REDACTED] was sweeping and moved a shelve which had a plastic pamphlet holder on it This fell and hit her in the forehead

Bruise or Contusion Forehead

Foreign Body

Bruise or Contusion Forehead Struck by a falling or flying object Foreign Body

Job description
MEMBERSHIP CLERK
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 #
WC80DG2140
Date of incident
Shift started
16:00:00.000
Time of incident
20:40:00.000
Submitted
04MAR24:19:33:00

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.