Sun Prairie, WI —
OSHA Injury Report: 1121 - SUN PRAIRIE WI
Injury · Job transfer or restriction
At a glance
On , an injury at 1121 - SUN PRAIRIE WI in Sun Prairie, WI 48823 resulted in job transfer or restriction. Employee was fORKLIFT DRIVER 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
- BULK WALL
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 41
Before the incident
loading cat litter into a cart
What happened
loaded 3 units of cat litter into cart Swept up dog food and tweaked back
Injury or illness
Strain Sprain Back Lower
Object or substance involved
Merchandise
Summary line
Strain Sprain Back Lower Lifting Merchandise
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051 — Industrial Truck and Tractor Operators
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 309
- Total hours worked
- 453440
- EIN
- 911223280
- Establishment ID
- 1217649
- Employer case #
- WC413F6069
When (timing detail)
- Date of incident
- Shift started
- 4:00:00.000
- Time of incident
- 11:40:00.000
- 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.