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 sUP HOURLY 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
- FRONT END
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 4
Before the incident
Assisting the cashier at the register
What happened
As [REDACTED] was lifting storage bins and the lids fell forward and hit him on the left side of the face on his forehead
Injury or illness
Bruise or Contusion Forehead
Object or substance involved
Merchandise
Summary line
Bruise or Contusion Forehead Left Side Lifting Merchandise
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011 — First-Line Supervisors of 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 #
- WC80DG7776
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 13:00
- Filing year
- 2024
- Submitted
- 28FEB2025:21:43:00
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0784 GRAND RAPIDS MI WHSE
GRAND RAPIDS, MI—
0784 GRAND RAPIDS MI WHSE
GRAND RAPIDS, MI—
0784 GRAND RAPIDS MI WHSE
View 0784 GRAND RAPIDS MI WHSE's full OSHA safety record →
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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.