GRAND RAPIDS, MI —
OSHA Injury Report: 0784 - GRAND RAPIDS MI
Injury · Days away from work
At a glance
On , an injury at 0784 - GRAND RAPIDS MI in GRAND RAPIDS, MI 29301 resulted in days away from work. Employee was tIRE INSTALLER in wholesale Grocer.
Where did this happen?
- Establishment
- 0784 - GRAND RAPIDS MI
- Parent company
- Costco Wholesale
- Street
- 5100 28TH ST SE
- City
- GRAND RAPIDS
- State
- MI
- ZIP
- 29301
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 9
Before the incident
torqueing tire
What happened
was torqueing a SUV tire when a sharp pain in lower back came on and he nearly collapsed
Injury or illness
Strain Sprain Back Lower
Object or substance involved
Tire Center Torque Wrench
Summary line
Strain Sprain Back Lower Pushing Tire Center Torque Wrench
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
- 296
- Total hours worked
- 435366
- EIN
- 911223280
- Establishment ID
- 1217860
- Employer case #
- WC80DG4219
When (timing detail)
- Date of incident
- Shift started
- 12:30:00.000
- Time of incident
- 13:40:00.000
- Submitted
- 04MAR24:19:39:00
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.