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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 sUP HOURLY 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
TIRE SHOP

What was the outcome?

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

Before the incident

walking

What happened

Walking to clock out for lunch tripped over tire in back and fell on knee

Injury or illness

Bruise or Contusion Knee Right Side

Object or substance involved

Merchandise

Summary line

Bruise or Contusion Knee Right Side Fall from Same Level 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
286
Total hours worked
409607
EIN
911223280
Establishment ID
1378703
Employer case #
WC413G4033

When (timing detail)

Date of incident
Shift started
12:30
Time of incident
15:50
Filing year
2024
Submitted
28FEB2025:21:43:00

More injuries at 1020 MIDDLETON WI WHSE

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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.