Verona, WI —
OSHA Injury Report: 1491 - VERONA WI
Injury · Job transfer or restriction
At a glance
On , an injury at 1491 - VERONA WI in Verona, WI 53593 resulted in job transfer or restriction. Employee was sUP HOURLY in wholesale Grocer.
Where did this happen?
- Establishment
- 1491 - VERONA WI
- Parent company
- Costco Wholesale
- Street
- 1000 Batker Court
- City
- Verona
- State
- WI
- ZIP
- 53593
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 45
Before the incident
Cashiering
What happened
Cashiering and lifting potting soil out of cart to scan and felt a pop in shoulder area
Injury or illness
Strain Sprain Shoulder
Object or substance involved
Merchandise
Summary line
Strain Sprain Shoulder Left Side Lifting Merchandise
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 209
- Total hours worked
- 313388
- EIN
- 911223280
- Establishment ID
- 1217627
- Employer case #
- WC413F7220
When (timing detail)
- Date of incident
- Shift started
- 10:30:00.000
- Time of incident
- 13:15:00.000
- Submitted
- 04MAR24:19:29:00
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.