Sun Prairie, WI —
OSHA Injury Report: 1121 SUN PRAIRIE WI WHSE
Injury · Other recordable case
At a glance
On , an injury at 1121 SUN PRAIRIE WI WHSE in Sun Prairie, WI 53590 resulted in other recordable case. Employee was sUP HOURLY 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
- OUTSIDE PARKING LOT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
pushing carts
What happened
[REDACTED] was helping bring in carts and was knocked down by a truck
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Member Vehicle
Summary line
Strain Sprain Shoulder Right Side Struck Against a Fixed Object Member Vehicle
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
- 322
- Total hours worked
- 468465
- EIN
- 911223280
- Establishment ID
- 1378766
- Employer case #
- WC413G4248
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 14:00
- 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.