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 tIRE INSTALLER 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
- TIRE SHOP
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 4
- Days restricted or transferred
- 13
Before the incident
Changing tires
What happened
Sat down to put tire on the vehicle and got a very sharp pain in lower back
Injury or illness
Strain Sprain Back Lower
Object or substance involved
Tool Equipment Unclassified
Summary line
Strain Sprain Back Lower Repetitive Motion Tool Equipment Unclassified
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 49-3093 — Tire Repairers and Changers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 263
- Total hours worked
- 389666
- EIN
- 911223280
- Establishment ID
- 1217794
- Employer case #
- WC413F6528
When (timing detail)
- Date of incident
- Shift started
- 16:00:00.000
- Time of incident
- 18:00:00.000
- 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.