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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 tIRE INSTALLER 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
TIRE SHOP

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
4
Days restricted or transferred
13

Before the incident

Changing tires

What happened

Sat down to put tire on the vehicle and got a very sharp pain in lower back

Injury or illness

Strain Sprain Back Lower

Object or substance involved

Tool Equipment Unclassified

Summary line

Strain Sprain Back Lower Repetitive Motion Tool Equipment Unclassified

Employee and industry

Job description
TIRE INSTALLER
SOC code
49-3093 — Tire Repairers and Changers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
263
Total hours worked
389666
EIN
911223280
Establishment ID
1217794
Employer case #
WC413F6528

When (timing detail)

Date of incident
Shift started
16:00:00.000
Time of incident
18:00:00.000
Filing year
2023
Submitted
04MAR24:19:25:00

More injuries at 1101 - PEWAUKEE WI

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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.