PLESANT PRAIRIE, WI —
OSHA Injury Report: 1198 - PLEASANT PRAIRIE WI
Injury · Days away from work
At a glance
On , an injury at 1198 - PLEASANT PRAIRIE WI in PLESANT PRAIRIE, WI 33610 resulted in days away from work. Employee was sERVICE DELI CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 1198 - PLEASANT PRAIRIE WI
- Parent company
- Costco Wholesale
- Street
- 7707 94TH AVE
- City
- PLESANT PRAIRIE
- State
- WI
- ZIP
- 33610
- On-site location
- Deli room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
- Days restricted or transferred
- 134
Before the incident
Cleaning floor
What happened
Slipped on floor into floor drain and landed on right side of body
Injury or illness
Inflammation swelling Shoulder Right Side
Object or substance involved
Floor Walking Surface
Summary line
Inflammation swelling Shoulder Right Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 247
- Total hours worked
- 353225
- EIN
- 911223280
- Establishment ID
- 1217768
- Employer case #
- WC413F2620
When (timing detail)
- Date of incident
- Shift started
- 15:30:00.000
- Time of incident
- 20:45:00.000
- Submitted
- 04MAR24:19:26:00
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.