MENOMONEE FALLS, WI —
OSHA Injury Report: 1209 - MENOMONEE FALLS WI
Injury · Other recordable case
At a glance
On , an injury at 1209 - MENOMONEE FALLS WI in MENOMONEE FALLS, WI 43228 resulted in other recordable case. Employee was sERVICE DELI CLERK in wHOLESALE GROCER.
Where did this happen?
- Establishment
- 1209 - MENOMONEE FALLS WI
- Parent company
- Costco Wholesale
- Street
- W162 N9235 PERSHING AVE
- City
- MENOMONEE FALLS
- State
- WI
- ZIP
- 43228
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Cleaning the Floor
What happened
Tripped over hose of foamer and fell into the splits and over stretched right leg muscle
Injury or illness
Strain Sprain Leg Right Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Strain Sprain Leg Right Side Caught by Fixed Object Tool Equipment Unclassified
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
- 248
- Total hours worked
- 366215
- EIN
- 911223280
- Establishment ID
- 1217710
- Employer case #
- WC413F4338
When (timing detail)
- Date of incident
- Shift started
- 14:00:00.000
- Time of incident
- 21:23:00.000
- Submitted
- 04MAR24:19:27:00
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.