PEWAUKEE, WI —
OSHA Injury Report: 1101 PEWAUKEE WI WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 1101 PEWAUKEE WI WHSE in PEWAUKEE, WI 53072 resulted in job transfer or restriction. Employee was sUP HOURLY in wholesale Grocer.
Where did this happen?
- Establishment
- 1101 PEWAUKEE WI WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 443 PEWAUKEE ROAD
- City
- PEWAUKEE
- State
- WI
- ZIP
- 53072
- On-site location
- OUTSIDE PARKING LOT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 7
Before the incident
Running in to work
What happened
Jogging in to work and tripped and fell
Injury or illness
Bruise or Contusion Elbow
Object or substance involved
Parking Lot
Summary line
Bruise or Contusion Elbow Fall from Same Level Parking Lot
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
- 278
- Total hours worked
- 410111
- EIN
- 911223280
- Establishment ID
- 1378751
- Employer case #
- WC413F9900
When (timing detail)
- Date of incident
- Time of incident
- 11:00
- 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.