MENOMONEE FALLS, WI —
OSHA Injury Report: 1209 MENOMONEE FALLS WI WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 1209 MENOMONEE FALLS WI WHSE in MENOMONEE FALLS, WI 53051 resulted in job transfer or restriction. Employee was sERVICE DELI CLERK in wHOLESALE GROCER.
Where did this happen?
- Establishment
- 1209 MENOMONEE FALLS WI WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- W162 N9235 PERSHING AVE
- City
- MENOMONEE FALLS
- State
- WI
- ZIP
- 53051
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 64
Before the incident
lifting
What happened
shoulder was lifting heavy box felt like I pulled a muscle was using legs to help lift
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
- SERVICE DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 455211 — WHOLESALE GROCER
- NAICS vintage
- 2022
- Avg employees
- 264
- Total hours worked
- 380487
- EIN
- 911223280
- Establishment ID
- 1378816
- Employer case #
- WC413G571
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.