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Safety Incidents OSHA Severe Injury Reports · 2015–2025

PEWAUKEE, WI —

OSHA Injury Report: 1101 PEWAUKEE WI WHSE

Injury · Job transfer or restriction

At a glance

On , an injury at 1101 PEWAUKEE WI WHSE in 443 PEWAUKEE ROAD, PEWAUKEE, WI 53072 resulted in job transfer or restriction. Employee was tIRE INSTALLER in wholesale Grocer.

Where did this happen?

Establishment
1101 PEWAUKEE WI WHSE
Parent company
COSTCO WHOLESALE
Street
443 PEWAUKEE ROAD
City
PEWAUKEE
State
WI
ZIP
53072
On-site location
TIRE SHOP

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
18

Before the incident

pushing bottom bead of tire

What happened

Was trying to push the bottom bead onto tire hand slipped on tire rubber twisted my back fast and hurt me

Injury or illness

Strain Sprain Back Lower

Object or substance involved

Tire

Summary line

Strain Sprain Back Lower Twisted Tire

Employee and industry

Job description
TIRE INSTALLER
SOC code
9999 — Uncoded
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
278
Total hours worked
410111
EIN
911223280
Establishment ID
1378751
Employer case #
WC413G4146

When (timing detail)

Date of incident
Shift started
11:00
Time of incident
12:50
Filing year
2024
Submitted
28FEB2025:21:43:00

More injuries at 1101 PEWAUKEE 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.