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 bAKERY WRAPPER 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
- BAKERY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 57
- Days restricted or transferred
- 63
Before the incident
glazing danish
What happened
Spraying danish with glaze brought over a rack and slipped on the overspray
Injury or illness
Inflammation swelling Knee Left Side
Object or substance involved
Floor Walking Surface
Summary line
Inflammation swelling Knee Left Side Fall from liquid spill or grease Floor Walking Surface
Employee and industry
- Job description
- BAKERY WRAPPER
- SOC code
- 53-7064 — Packers and Packagers, Hand
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 309
- Total hours worked
- 453440
- EIN
- 911223280
- Establishment ID
- 1217649
- Employer case #
- WC413F5982
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 8:30:00.000
- 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.