PEWAUKEE, WI —
OSHA Injury Report: "PEWAUKEE WI - 3143"
Injury · Other recordable case
At a glance
On , an injury at "PEWAUKEE WI - 3143" in PEWAUKEE, WI 53072 resulted in other recordable case. Employee was cASHIER in "Home Centers".
Where did this happen?
- Establishment
- "PEWAUKEE WI - 3143"
- Parent company
- "Menards"
- Street
- "1357 CAPITOL DRIVE"
- City
- PEWAUKEE
- State
- WI
- ZIP
- 53072
- On-site location
- "STORE"
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WALKING INTO THE STORE
What happened
TRIPPED OVER RUG FELL ONTO KNEES ROLLED ONTO HER BACK
Injury or illness
CONTUSION KNEES PAIN LEFT SHOULDER
Object or substance involved
RUG ON FLOOR
Summary line
MULTIPLE INJURY--TRIPPED ON RUG AND FELL
Employee and industry
- Job description
- CASHIER
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 444110 — "Home Centers"
- NAICS vintage
- 2012
- Avg employees
- 161
- Total hours worked
- 209957
- EIN
- 390989248
- Establishment ID
- 1002396
- Employer case #
- MV1014044
When (timing detail)
- Date of incident
- Shift started
- 9:39
- Time of incident
- 13:55
- Filing year
- 2025
- Submitted
- 16FEB26:20:47:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.