GRAND CHUTE, WI —
OSHA Injury Report: 1222 - GRAND CHUTE WI
Injury · Job transfer or restriction
At a glance
On , an injury at 1222 - GRAND CHUTE WI in 5401 W INTEGRITY WAY, GRAND CHUTE, WI 44109 resulted in job transfer or restriction. Employee was mEMBERSHIP CLERK in wHOLESALE GROCER.
Where did this happen?
- Establishment
- 1222 - GRAND CHUTE WI
- Parent company
- Costco Wholesale
- Street
- 5401 W INTEGRITY WAY
- City
- GRAND CHUTE
- State
- WI
- ZIP
- 44109
- On-site location
- Suzo
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 5
Before the incident
Depositing a till into Suzo
What happened
Employee was lifting coin deposit it was heavy and fell on finger slicing skin and nail
Injury or illness
Laceration Finger Left Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Laceration Finger Left Side Caught Under Tool Equipment Unclassified
Employee and industry
- Job description
- MEMBERSHIP CLERK
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — WHOLESALE GROCER
- NAICS vintage
- 2022
- Avg employees
- 253
- Total hours worked
- 381565
- EIN
- 911223280
- Establishment ID
- 1217701
- Employer case #
- WC413F3138
When (timing detail)
- Date of incident
- Shift started
- 10:00:00.000
- Time of incident
- 17:37:00.000
- Filing year
- 2023
- Submitted
- 04MAR24:19:27:00
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View 1222 - GRAND CHUTE 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.