GRAND RAPIDS, MI —
OSHA Injury Report: 0784 GRAND RAPIDS MI WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0784 GRAND RAPIDS MI WHSE in 5100 28TH ST SE, GRAND RAPIDS, MI 49512 resulted in job transfer or restriction. Employee was cASHIER 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
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 86
Before the incident
cashiering and moving product
What happened
[REDACTED] was cashiering and felt a pop when moving product across the belt
Injury or illness
Dislocation Shoulder
Object or substance involved
Merchandise
Summary line
Dislocation Shoulder Left Side Object Handled Merchandise
Employee and industry
- Job description
- CASHIER
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 295
- Total hours worked
- 435837
- EIN
- 911223280
- Establishment ID
- 1378667
- Employer case #
- WC80DP105
When (timing detail)
- Date of incident
- Shift started
- 12:30
- Time of incident
- 17:00
- Filing year
- 2025
- Submitted
- 28FEB26:00:32:00
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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 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.