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Safety Incidents OSHA Severe Injury Reports · 2015–2025

GRAND CHUTE, WI —

OSHA Injury Report: 1222 GRAND CHUTE WI WHSE

Injury · Days away from work

At a glance

On , an injury at 1222 GRAND CHUTE WI WHSE in 5401 W INTEGRITY WAY, GRAND CHUTE, WI 54913 resulted in days away from work. Employee was mGR DEPT W OT in wHOLESALE GROCER.

Where did this happen?

Establishment
1222 GRAND CHUTE WI WHSE
Parent company
COSTCO WHOLESALE
Street
5401 W INTEGRITY WAY
City
GRAND CHUTE
State
WI
ZIP
54913
On-site location
BAKERY

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
8

Before the incident

lifting items in bakery

What happened

Lifting large mixing bowl onto rack to be cleaned Felt a 'pop ' in arm

Injury or illness

Strain Sprain Arm Right Side

Object or substance involved

Bakery Mixer

Summary line

Strain Sprain Arm Right Side Lifting Bakery Mixer

Employee and industry

Job description
MGR DEPT W OT
SOC code
9999 — Uncoded
NAICS code
455211 — WHOLESALE GROCER
NAICS vintage
2022
Avg employees
269
Total hours worked
404641
EIN
911223280
Establishment ID
1378824
Employer case #
WC413G3485

When (timing detail)

Date of incident
Shift started
6:00
Time of incident
11:00
Filing year
2024
Submitted
28FEB2025:21:44:00

More injuries at 1222 GRAND CHUTE WI WHSE

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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.