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
- 26
Before the incident
scrubbing
What happened
was scrubbing ckn rack w force Took 15 20 min to finish scrubbing
Injury or illness
Strain Sprain Elbow Left Side
Object or substance involved
Rack
Summary line
Strain Sprain Elbow Left Side Pushing Rack
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 #
- WC413G679
When (timing detail)
- Date of incident
- Time of incident
- 18:00
- 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.