NEW BERLIN, WI —
OSHA Injury Report: 1212 - NEW BERLIN WI
Injury · Other recordable case
At a glance
On , an injury at 1212 - NEW BERLIN WI in NEW BERLIN, WI 43228 resulted in other recordable case. Employee was cASHIER ASST in wHOLESALE GROCER.
Where did this happen?
- Establishment
- 1212 - NEW BERLIN WI
- Parent company
- Costco Wholesale
- Street
- 15300 W GRANGE AVE
- City
- NEW BERLIN
- 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 deli floor
What happened
I slipped as i was walking to start wash the deli with foam soap was some liquid spilled from pouch of sanitize liqui
Injury or illness
Bruise or Contusion Back Lower
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Back Lower Fall from liquid spill or grease Floor Walking Surface
Employee and industry
- Job description
- CASHIER ASST
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 455211 — WHOLESALE GROCER
- NAICS vintage
- 2022
- Avg employees
- 286
- Total hours worked
- 426463
- EIN
- 911223280
- Establishment ID
- 1217713
- Employer case #
- WC413F5930
When (timing detail)
- Date of incident
- Shift started
- 12:00:00.000
- Time of incident
- 19:45:00.000
- 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.