FORT WAYNE, IN —
OSHA Injury Report: 1161 FORT WAYNE IN WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 1161 FORT WAYNE IN WHSE in 5110 VALUE DRIVE, FORT WAYNE, IN 46808 resulted in job transfer or restriction. Employee was tIRE INSTALLER in wholesale Grocer.
Where did this happen?
- Establishment
- 1161 FORT WAYNE IN WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 5110 VALUE DRIVE
- City
- FORT WAYNE
- State
- IN
- ZIP
- 46808
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 87
Before the incident
Pulling a valve stem from a wheel
What happened
Employee hit himself in the face eyebrow area causing a laceration
Injury or illness
Laceration Eye
Object or substance involved
Tool Equipment Unclassified
Summary line
Laceration Eye Pulling Tool Equipment Unclassified
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
- 294
- Total hours worked
- 444794
- EIN
- 911223280
- Establishment ID
- 1378779
- Employer case #
- WC80DP014
When (timing detail)
- Date of incident
- Time of incident
- 15:51
- Filing year
- 2025
- Submitted
- 28FEB26:00:32:00
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View 1161 FORT WAYNE IN 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.