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 sALES 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
- 17
Before the incident
breaking down cardboard
What happened
Stepped on large cardboard bin to crush it did not give thru me off balance causing hard fall
Injury or illness
Strain Sprain Arm Right Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Arm Right Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- SALES
- SOC code
- 41-4010 — Sales Representatives, Wholesale and Manufacturing
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 263
- Total hours worked
- 389666
- EIN
- 911223280
- Establishment ID
- 1217794
- Employer case #
- WC413F4309
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 9:45:00.000
- 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.