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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 1101 - PEWAUKEE WI

Injury · Days away from work

On , an injury at 1101 - PEWAUKEE WI in PEWAUKEE, WI 32839 resulted in days away from work. Employee was sERVICE DELI CLERK in wholesale Grocer.

Establishment
1101 - PEWAUKEE WI
Parent company
Costco Wholesale
Street
443 PEWAUKEE ROAD
City
PEWAUKEE
State
WI
ZIP
32839
On-site location
SERVICE DELI
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
17

preparing chickens

loading raw chicken skewers into oven

Burn Forearms

Oven

Burn Forearms Contact with Hot Object Oven

Job description
SERVICE DELI CLERK
SOC code
35-3023 — Fast Food and Counter Workers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
263
Total hours worked
389666
EIN
911223280
Establishment ID
1217794
Employer case #
WC413F3947
Date of incident
Time of incident
13:35:00.000
Submitted
04MAR24:19:25:00

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.