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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 rTV CLERK 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
RECEIVING

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
79

Before the incident

lifting a dining set onto a pallet

What happened

lifting a dining set onto a pallet felt pinch pain in shoulder collar bone

Injury or illness

Strain Sprain Shoulder Right Side

Object or substance involved

Merchandise

Summary line

Strain Sprain Shoulder Right Side Lifting Merchandise

Employee and industry

Job description
RTV CLERK
SOC code
00-9900 — Insufficient Information - NIOSH
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
279
Total hours worked
411445
EIN
911223280
Establishment ID
1378751
Employer case #
WC413M027

When (timing detail)

Date of incident
Shift started
6:00
Time of incident
13:30
Filing year
2025
Submitted
28FEB26:00:32:00

More injuries at 1101 PEWAUKEE WI WHSE

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.