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 sUP HOURLY 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
- TIRE SHOP
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 56
Before the incident
changing tires
What happened
stood up from putting on a wheel back onto vehicle and felt a sharp pain on the outside of my left knee
Injury or illness
Strain Sprain Knee Left Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Knee Left Side Standing Floor Walking Surface
Employee and industry
- Job description
- SUP HOURLY
- 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 #
- WC413G464
When (timing detail)
- Date of incident
- Time of incident
- 11:00
- 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.