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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 1209 - MENOMONEE FALLS WI

Injury · Days away from work

On , an injury at 1209 - MENOMONEE FALLS WI in MENOMONEE FALLS, WI 43228 resulted in days away from work. Employee was mGR DEPT W OT in wHOLESALE GROCER.

Establishment
1209 - MENOMONEE FALLS WI
Parent company
Costco Wholesale
Street
W162 N9235 PERSHING AVE
City
MENOMONEE FALLS
State
WI
ZIP
43228
On-site location
FOOD COURT
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
3

opening the door

opening oven door handle came off striking her in the face

Bruise or Contusion Face

Oven

Bruise or Contusion Face Pulling Oven

Job description
MGR DEPT W OT
SOC code
9999 — Uncoded
NAICS code
455211 — WHOLESALE GROCER
NAICS vintage
2022
Avg employees
248
Total hours worked
366215
EIN
911223280
Establishment ID
1217710
Employer case #
WC413F4344
Date of incident
Shift started
8:00:00.000
Time of incident
17:00:00.000
Submitted
04MAR24:19:27:00

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.