PEWAUKEE, WI —
OSHA Injury Report: 1101 - PEWAUKEE WI
Injury · Job transfer or restriction
At a glance
On , an injury at 1101 - PEWAUKEE WI in PEWAUKEE, WI 32839 resulted in job transfer or restriction. Employee was rTV 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
- RECEIVING
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 11
Before the incident
RTV work
What happened
moving box full of cans of soda felt stain in elbow pain worsened since
Injury or illness
Strain Sprain Elbow Right Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Elbow Right Side Lifting Merchandise
Employee and industry
- Job description
- RTV CLERK
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 263
- Total hours worked
- 389666
- EIN
- 911223280
- Establishment ID
- 1217794
- Employer case #
- WC413F3946
When (timing detail)
- Date of incident
- 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.