MADISON HEIGHTS, MI —
OSHA Injury Report: 0393 - MADISON HEIGHTS MI
Injury · Job transfer or restriction
At a glance
On , an injury at 0393 - MADISON HEIGHTS MI in MADISON HEIGHTS, MI 94534 resulted in job transfer or restriction. Employee was mEMBERSHIP CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 0393 - MADISON HEIGHTS MI
- Parent company
- Costco Wholesale
- Street
- 30550 STEPHENSON HWY
- City
- MADISON HEIGHTS
- State
- MI
- ZIP
- 94534
- On-site location
- MEMBERSHIP
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 7
Before the incident
taking returns
What happened
Tripped on lounge pad behind the membership desk Fell on elbow right on cement Knees on pad Sharp pain burning
Injury or illness
Abrasion irritation Elbow Right Side
Object or substance involved
Floor Walking Surface
Summary line
Abrasion irritation Elbow Right Side Fall on uneven surface Floor Walking Surface
Employee and industry
- Job description
- MEMBERSHIP CLERK
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 328
- Total hours worked
- 461374
- EIN
- 911223280
- Establishment ID
- 1217181
- Employer case #
- WC80DG1787
When (timing detail)
- Date of incident
- Shift started
- 12:30:00.000
- Time of incident
- 15:30:00.000
- Submitted
- 04MAR24:19:34:00
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.