Sun Prairie, WI —
OSHA Injury Report: 1121 - SUN PRAIRIE WI
Injury · Days away from work
At a glance
On , an injury at 1121 - SUN PRAIRIE WI in Sun Prairie, WI 48823 resulted in days away from work. Employee was mEMBER SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 1121 - SUN PRAIRIE WI
- Parent company
- Costco Wholesale
- Street
- 2850 Hoepker Rd
- City
- Sun Prairie
- State
- WI
- ZIP
- 48823
- On-site location
- GAS STATION
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 79
Before the incident
walking
What happened
tripped on curb and fell resulting in bruising and swelling on knees
Injury or illness
Bruise or Contusion Knee Right and Left Side
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Knee Right and Left Side Fall on uneven surface Floor Walking Surface
Employee and industry
- Job description
- MEMBER SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 309
- Total hours worked
- 453440
- EIN
- 911223280
- Establishment ID
- 1217649
- Employer case #
- WC413F3410
When (timing detail)
- Date of incident
- Shift started
- 18:10:00.000
- Time of incident
- 18:50:00.000
- 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.