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 sERVICE DELI 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
- deli
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
- Days restricted or transferred
- 8
Before the incident
skewering chickens
What happened
cosntant lifting strained back sore went home and pain worsened limp
Injury or illness
Strain Sprain Back Lower Right Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Back Lower 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
- 263
- Total hours worked
- 389666
- EIN
- 911223280
- Establishment ID
- 1217794
- Employer case #
- WC413F3322
When (timing detail)
- Date of incident
- Shift started
- 13:00:00.000
- Time of incident
- 21:30:00.000
- 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.