GRAFTON, WI —
OSHA Injury Report: 0628 - GRAFTON WI
Injury · Other recordable case
At a glance
On , an injury at 0628 - GRAFTON WI in GRAFTON, WI 98607 resulted in other recordable case. Employee was cASHIER ASST in wholesale Grocer.
Where did this happen?
- Establishment
- 0628 - GRAFTON WI
- Parent company
- Costco Wholesale
- Street
- 950 PORT WASHINGTON RD
- City
- GRAFTON
- State
- WI
- ZIP
- 98607
- On-site location
- BULK WALL
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Stocking
What happened
Let go off the handle of the pallet jack popped up and hit him in the lip causing him to bite through
Injury or illness
Laceration Mouth
Object or substance involved
Pallet Jack Manual
Summary line
Laceration Mouth Right and Left Side Struck by a Moving Object Pallet Jack Manual
Employee and industry
- Job description
- CASHIER ASST
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 259
- Total hours worked
- 371068
- EIN
- 911223280
- Establishment ID
- 1217044
- Employer case #
- WC413F4721
When (timing detail)
- Date of incident
- Shift started
- 11:45:00.000
- Time of incident
- 19:30:00.000
- Submitted
- 04MAR24:19:36:00
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.