PEWAUKEE, WI —
OSHA Injury Report: 1101 PEWAUKEE WI WHSE
Injury · Other recordable case
At a glance
On , an injury at 1101 PEWAUKEE WI WHSE in PEWAUKEE, WI 53072 resulted in other recordable case. Employee was mEMBER SERVICE 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
- MAJORS SALES
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
working at entrance door
What happened
member scanned card no pic member kept walking asked for DL turned left and caught foot on tv pallett and tripped
Injury or illness
Strain Sprain Arm Left Side
Object or substance involved
Pallet
Summary line
Strain Sprain Arm Left Side Caught In or Between Pallet
Employee and industry
- Job description
- MEMBER SERVICE
- 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 #
- WC413G528
When (timing detail)
- Date of incident
- Shift started
- 9:30
- Time of incident
- 11:53
- 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.