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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 sERVICE DELI CLERK 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
deli dept

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
19

Before the incident

lifting

What happened

lifting and moving chicken cases

Injury or illness

Strain Sprain Shoulder Left Side

Object or substance involved

Merchandise

Summary line

Strain Sprain Shoulder Left Side Lifting Merchandise

Employee and industry

Job description
SERVICE DELI CLERK
SOC code
35-3023 — Fast Food and Counter Workers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
280
Total hours worked
387353
EIN
911223280
Establishment ID
1217227
Employer case #
WC80DF9857

When (timing detail)

Date of incident
Shift started
6:00:00.000
Time of incident
7:05:00.000
Submitted
04MAR24:19:34:00

More injuries at 0394 - ROSEVILLE MI

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.