BELLEVUE, WI —
OSHA Injury Report: 1162 - BELLEVUE WI
Injury · Days away from work
At a glance
On , an injury at 1162 - BELLEVUE WI in 2355 Costco Way, BELLEVUE, WI 29466 resulted in days away from work. Employee was mEMBER SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 1162 - BELLEVUE WI
- Parent company
- Costco Wholesale
- Street
- 2355 Costco Way
- City
- BELLEVUE
- State
- WI
- ZIP
- 29466
- On-site location
- VESTIBULE ENTRANCE EXIT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 20
- Days restricted or transferred
- 76
Before the incident
Checking cards at the entrance
What happened
[REDACTED] fell walking between carts and wheelchairs in an effort to move from the entrance to the exit
Injury or illness
Inflammation swelling Neck Right Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Inflammation swelling Neck Right Side Fall from Same Level Tool Equipment Unclassified
Employee and industry
- Job description
- MEMBER SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 260
- Total hours worked
- 378453
- EIN
- 911223280
- Establishment ID
- 1217854
- Employer case #
- WC413F4923
When (timing detail)
- Date of incident
- Shift started
- 9:00:00.000
- Time of incident
- 15:40:00.000
- Filing year
- 2023
- Submitted
- 04MAR24:19:26:00
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View 1162 - BELLEVUE WI's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.