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Safety Incidents OSHA Severe Injury Reports · 2015–2025

GRAND RAPIDS, MI —

OSHA Injury Report: 0784 GRAND RAPIDS MI WHSE

Injury · Days away from work

At a glance

On , an injury at 0784 GRAND RAPIDS MI WHSE in 5100 28TH ST SE, GRAND RAPIDS, MI 49512 resulted in days away from work. Employee was mGR DEPT in wholesale Grocer.

Where did this happen?

Establishment
0784 GRAND RAPIDS MI WHSE
Parent company
COSTCO WHOLESALE
Street
5100 28TH ST SE
City
GRAND RAPIDS
State
MI
ZIP
49512
On-site location
MEAT

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
34
Days restricted or transferred
43

Before the incident

walking through the cooler

What happened

Was in Meat Deli cooler and got foot caught on a fpiece of plastic film on a pallet tripped rolled ankle and hit elbow

Injury or illness

Strain Sprain Ankle Right Side

Object or substance involved

Pallet Wrapper Machine Manual Shrink Wrap

Summary line

Strain Sprain Ankle Right Side Struck Against a Fixed Object Pallet Wrapper Machine Manual Shrink Wrap

Employee and industry

Job description
MGR DEPT
SOC code
41-1012 — First-Line Supervisors of Non-Retail Sales Workers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
296
Total hours worked
444280
EIN
911223280
Establishment ID
1378667
Employer case #
WC80DH0211

When (timing detail)

Date of incident
Shift started
9:00
Time of incident
11:00
Filing year
2024
Submitted
28FEB2025:21:43:00

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.