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 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
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 61
Before the incident
working
What happened
Employee was lifting a tire onto a dolly and his back started hurting
Injury or illness
Strain Sprain Back Lower
Object or substance involved
Tire
Summary line
Strain Sprain Back Lower Lifting Tire
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 #
- WC413F6545
When (timing detail)
- Date of incident
- Shift started
- 12:45:00.000
- Time of incident
- 14:00:00.000
- 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.