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Safety Incidents OSHA Severe Injury Reports · 2015–2025

PEWAUKEE, WI —

OSHA Injury Report: 1101 - PEWAUKEE WI

Injury · Days away from work

At a glance

On , an injury at 1101 - PEWAUKEE WI in 443 PEWAUKEE ROAD, PEWAUKEE, WI 32839 resulted in days away from work. Employee was sERVICE DELI CLERK in wholesale Grocer.

Where did this happen?

Establishment
1101 - PEWAUKEE WI
Parent company
Costco Wholesale
Street
443 PEWAUKEE ROAD
City
PEWAUKEE
State
WI
ZIP
32839
On-site location
WALK IN COOLER

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
7
Days restricted or transferred
10

Before the incident

gathering deli items in cooler

What happened

I slipped on ice in cooler

Injury or illness

Strain Sprain Back Upper

Object or substance involved

Floor Walking Surface

Summary line

Strain Sprain Back Upper Fall on Ice or Snow Floor Walking Surface

Employee and industry

Job description
SERVICE DELI CLERK
SOC code
35-3023 — Fast Food and Counter Workers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
263
Total hours worked
389666
EIN
911223280
Establishment ID
1217794
Employer case #
WC413F3464

When (timing detail)

Date of incident
Shift started
6:30:00.000
Time of incident
6:50:00.000
Filing year
2023
Submitted
04MAR24:19:25:00

More injuries at 1101 - PEWAUKEE WI

View 1101 - PEWAUKEE WI's full OSHA safety record →

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.