PEWAUKEE, WI —
OSHA Injury Report: 1101 PEWAUKEE WI WHSE
Injury · Other recordable case
At a glance
On , an injury at 1101 PEWAUKEE WI WHSE in 443 PEWAUKEE ROAD, PEWAUKEE, WI 53072 resulted in other recordable case. Employee was fORKLIFT DRIVER 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
- WALK IN FREEZER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
stocking and horseplaying
What happened
stocking shelves punch from sombody
Injury or illness
Laceration Forehead
Object or substance involved
Co Worker
Summary line
Laceration Forehead Horseplay Co Worker
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051 — Industrial Truck and Tractor Operators
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 278
- Total hours worked
- 410111
- EIN
- 911223280
- Establishment ID
- 1378751
- Employer case #
- WC413F8726
When (timing detail)
- Date of incident
- Time of incident
- 5:30
- Filing year
- 2024
- Submitted
- 28FEB2025:21:43:00
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1101 PEWAUKEE WI WHSE
PEWAUKEE, WI—
1101 PEWAUKEE WI WHSE
PEWAUKEE, WI—
1101 PEWAUKEE WI WHSE
PEWAUKEE, WI—
1101 PEWAUKEE WI WHSE
View 1101 PEWAUKEE WI WHSE's full OSHA safety record →
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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.