Sun Prairie, WI —
OSHA Injury Report: 1121 SUN PRAIRIE WI WHSE
Injury · Days away from work
At a glance
On , an injury at 1121 SUN PRAIRIE WI WHSE in Sun Prairie, WI 53590 resulted in days away from work. Employee was mGR DEPT W OT 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
- TIRE SHOP
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
Before the incident
wrapping pallet
What happened
EE wrapping a pallet of tires tripped on a pallet jack slipped on floor and landed on back hit head on floor
Injury or illness
Strain Sprain Neck Right and Left Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Neck Right and Left Side Walking Floor Walking Surface
Employee and industry
- Job description
- MGR DEPT W OT
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 323
- Total hours worked
- 478271
- EIN
- 911223280
- Establishment ID
- 1378766
- Employer case #
- WC413M073
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 10:00
- 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.