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
- DRY GOODS
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 80
Before the incident
Unknown no specific incident
What happened
Employee stated that her back had started hurting She has no specific act that caused it to start hurting
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 #
- WC413F4865
When (timing detail)
- Date of incident
- Shift started
- 14:30:00.000
- 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.