PEWAUKEE, WI —
OSHA Injury Report: 1101 - PEWAUKEE WI
Injury · Days away from work
At a glance
On , an injury at 1101 - PEWAUKEE WI in PEWAUKEE, WI 32839 resulted in days away from work. Employee was mAINTENANCE CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 1101 - PEWAUKEE WI
- Parent company
- Costco Wholesale
- Street
- 443 PEWAUKEE ROAD
- City
- PEWAUKEE
- State
- WI
- ZIP
- 32839
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 65
Before the incident
Standing on the top rung of the ladder
What happened
The employee was standing on the top of a ladder hanging a sign when she lost her balance and fell off the ladder
Injury or illness
Laceration Head
Object or substance involved
Ladder Stepstool
Summary line
Laceration Head Fall from Different Level Ladder Stepstool
Employee and industry
- Job description
- MAINTENANCE CLERK
- SOC code
- 49-9071 — Maintenance and Repair Workers, General
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 263
- Total hours worked
- 389666
- EIN
- 911223280
- Establishment ID
- 1217794
- Employer case #
- WC413F4765
When (timing detail)
- Date of incident
- Time of incident
- 6:19:00.000
- Submitted
- 04MAR24:19:25:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.