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Safety Incidents OSHA Severe Injury Reports · 2015–2025

MIDDLETON, WI —

OSHA Injury Report: 1020 MIDDLETON WI WHSE

Injury · Job transfer or restriction

At a glance

On , an injury at 1020 MIDDLETON WI WHSE in 2150 DEMING WAY, MIDDLETON, WI 53562 resulted in job transfer or restriction. Employee was hA DISP APPRENTICE in wholesale Grocer.

Where did this happen?

Establishment
1020 MIDDLETON WI WHSE
Parent company
COSTCO WHOLESALE
Street
2150 DEMING WAY
City
MIDDLETON
State
WI
ZIP
53562
On-site location
HEARING CENTER

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
30

Before the incident

Using phone going to sit back down in chair

What happened

EE went to sit back down in chair and the chair had moved EE suffered injury to back and head

Injury or illness

Strain Sprain Neck

Object or substance involved

Floor Walking Surface

Summary line

Strain Sprain Neck Fall from Different Level Floor Walking Surface

Employee and industry

Job description
HA DISP APPRENTICE
SOC code
9999 — Uncoded
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
286
Total hours worked
409607
EIN
911223280
Establishment ID
1378703
Employer case #
WC413G4146

When (timing detail)

Date of incident
Shift started
9:30
Time of incident
10:15
Filing year
2024
Submitted
28FEB2025:21:43:00

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.