ROSEVILLE, MI —
OSHA Injury Report: 0394 - ROSEVILLE MI
Injury · Days away from work
At a glance
On , an injury at 0394 - ROSEVILLE MI in 27118 GRATIOT AVENUE, ROSEVILLE, MI 92618 resulted in days away from work. Employee was mAINTENANCE ASST in wholesale Grocer.
Where did this happen?
- Establishment
- 0394 - ROSEVILLE MI
- Parent company
- Costco Wholesale
- Street
- 27118 GRATIOT AVENUE
- City
- ROSEVILLE
- State
- MI
- ZIP
- 92618
- On-site location
- freezer
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 20
- Days restricted or transferred
- 5
Before the incident
stocking
What happened
employee was in the freezer and slipped on a patch of ice
Injury or illness
Inflammation swelling Knee Left Side
Object or substance involved
Floor Walking Surface
Summary line
Inflammation swelling Knee Left Side Fall on Ice or Snow Floor Walking Surface
Employee and industry
- Job description
- MAINTENANCE ASST
- SOC code
- 49-9071 — Maintenance and Repair Workers, General
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 280
- Total hours worked
- 387353
- EIN
- 911223280
- Establishment ID
- 1217227
- Employer case #
- WC80DG0259
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 7:40:00.000
- Submitted
- 04MAR24:19:34:00
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View 0394 - ROSEVILLE MI's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.