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
- SERVICE DELI
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking
What happened
Employee states they were walking with a box of sliced chicken and rolled their ankle on slippery floor
Injury or illness
Inflammation swelling Ankle Right Side
Object or substance involved
Floor Walking Surface
Summary line
Inflammation swelling Ankle Right Side Walking Floor Walking Surface
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 #
- WC413G4668
When (timing detail)
- Date of incident
- Shift started
- 7:30
- Time of incident
- 8:10
- 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.