SHELBY TOWNSHIP, MI —
OSHA Injury Report: 0374 - LAKESIDE MI
Injury · Other recordable case
At a glance
On , an injury at 0374 - LAKESIDE MI in SHELBY TOWNSHIP, MI 85260 resulted in other recordable case. Employee was tIRE INSTALLER 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
- Isaiah was on winer leave vacation the week on 2 6 23 thru 2 13 23
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Unknown [REDACTED] was on winter leave and vacation the week of [REDACTED]
What happened
Unknown Employee did not report workplace injury
Injury or illness
Unknown Arm Left Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Unknown Arm Left Side Work Place Environment Tool Equipment Unclassified
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 49-3093 — Tire Repairers and Changers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 338
- Total hours worked
- 475377
- EIN
- 911223280
- Establishment ID
- 1217350
- Employer case #
- WC80DG4249
When (timing detail)
- Date of incident
- 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.