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 rTV CLERK 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
- RECEIVING
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 79
Before the incident
lifting a dining set onto a pallet
What happened
lifting a dining set onto a pallet felt pinch pain in shoulder collar bone
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Shoulder Right Side Lifting Merchandise
Employee and industry
- Job description
- RTV CLERK
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 279
- Total hours worked
- 411445
- EIN
- 911223280
- Establishment ID
- 1378751
- Employer case #
- WC413M027
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 13:30
- Filing year
- 2025
- Submitted
- 28FEB26:00:32:00
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.