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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 1101 - PEWAUKEE WI

Injury · Other recordable case

On , an injury at 1101 - PEWAUKEE WI in PEWAUKEE, WI 32839 resulted in other recordable case. Employee was mEMBER SERVICE in wholesale Grocer.

Establishment
1101 - PEWAUKEE WI
Parent company
Costco Wholesale
Street
443 PEWAUKEE ROAD
City
PEWAUKEE
State
WI
ZIP
32839
On-site location
exit door vestibule
Outcome
Other recordable case (code 4)
Type
Injury (code 1)

working

Nerve damage arm squeezed by coworker

Bruise or Contusion Arm Left Side

Co Worker

Bruise or Contusion Arm Left Side Horseplay Co Worker

Job description
MEMBER SERVICE
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 #
WC413F4003
Date of incident
Time of incident
14:00:00.000
Submitted
04MAR24:19:25:00

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.