Sun Prairie, WI —
OSHA Injury Report: 1121 SUN PRAIRIE WI WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 1121 SUN PRAIRIE WI WHSE in Sun Prairie, WI 53590 resulted in job transfer or restriction. Employee was tIRE INSTALLER in wholesale Grocer.
Where did this happen?
- Establishment
- 1121 SUN PRAIRIE WI WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 2850 Hoepker Rd
- City
- Sun Prairie
- State
- WI
- ZIP
- 53590
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 12
Before the incident
siphoning gas out of pressure [REDACTED]
What happened
Employee was emptying pressure washer siphoning gas out of pressure washer hose was still attached popped off in eye
Injury or illness
Vision Eye Left Side
Object or substance involved
Merchandise
Summary line
Vision Eye Left Side Struck by a Moving Object Merchandise
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 322
- Total hours worked
- 468465
- EIN
- 911223280
- Establishment ID
- 1378766
- Employer case #
- WC413G3204
When (timing detail)
- Date of incident
- Shift started
- 9:15
- Time of incident
- 17:00
- 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.