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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 sUP HOURLY 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
OUTSIDE PARKING LOT

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
7

Before the incident

Running in to work

What happened

Jogging in to work and tripped and fell

Injury or illness

Bruise or Contusion Elbow

Object or substance involved

Parking Lot

Summary line

Bruise or Contusion Elbow Fall from Same Level Parking Lot

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
278
Total hours worked
410111
EIN
911223280
Establishment ID
1378751
Employer case #
WC413F9900

When (timing detail)

Date of incident
Time of incident
11:00
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.