Sun Prairie, WI —
OSHA Injury Report: 1121 SUN PRAIRIE WI WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 1121 SUN PRAIRIE WI WHSE in Sun Prairie, WI 53590 resulted in job transfer or restriction. Employee was sERVICE DELI CLERK 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
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 9
Before the incident
Putting a plastic bin away in the deli department
What happened
Turned away from sink stepped on a piece of plastic on a wet floor and fell to the ground
Injury or illness
Concussion Head Right and Left Side
Object or substance involved
Floor Walking Surface
Summary line
Concussion Head Right and Left Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 323
- Total hours worked
- 478271
- EIN
- 911223280
- Establishment ID
- 1378766
- Employer case #
- WC413G528
When (timing detail)
- Date of incident
- Time of incident
- 21:50
- 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.