MIDDLETON, WI —
OSHA Injury Report: 1020 MIDDLETON WI WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 1020 MIDDLETON WI WHSE in MIDDLETON, WI 53562 resulted in job transfer or restriction. Employee was sUP HOURLY in wholesale Grocer.
Where did this happen?
- Establishment
- 1020 MIDDLETON WI WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 2150 DEMING WAY
- City
- MIDDLETON
- State
- WI
- ZIP
- 53562
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 3
Before the incident
walking
What happened
Walking to clock out for lunch tripped over tire in back and fell on knee
Injury or illness
Bruise or Contusion Knee Right Side
Object or substance involved
Merchandise
Summary line
Bruise or Contusion Knee Right Side Fall from Same Level Merchandise
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 286
- Total hours worked
- 409607
- EIN
- 911223280
- Establishment ID
- 1378703
- Employer case #
- WC413G4033
When (timing detail)
- Date of incident
- Shift started
- 12:30
- Time of incident
- 15:50
- Filing year
- 2024
- Submitted
- 28FEB2025:21:43:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.