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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Sun Prairie, WI —

OSHA Injury Report: 1121 SUN PRAIRIE WI WHSE

Injury · Other recordable case

At a glance

On , an injury at 1121 SUN PRAIRIE WI WHSE in 2850 Hoepker Rd, Sun Prairie, WI 53590 resulted in other recordable case. Employee was tIRE INSTALLER in wholesale Grocer.

Where did this happen?

Establishment
1121 SUN PRAIRIE WI WHSE
Parent company
COSTCO WHOLESALE
Street
2850 Hoepker Rd
City
Sun Prairie
State
WI
ZIP
53590
On-site location
TIRE SHOP

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

mounting a tire

What happened

installing valve on tire and pulled valve through and hit self in the face with the vavle tool

Injury or illness

Laceration Face

Object or substance involved

Tool Equipment Unclassified

Summary line

Laceration Face Right Side Hand Tool Tool Equipment Unclassified

Employee and industry

Job description
TIRE INSTALLER
SOC code
9999 — Uncoded
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
322
Total hours worked
468465
EIN
911223280
Establishment ID
1378766
Employer case #
WC413G4261

When (timing detail)

Date of incident
Shift started
13:30
Time of incident
16:50
Filing year
2024
Submitted
28FEB2025:21:43:00

More injuries at 1121 SUN PRAIRIE 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.