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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 refund Cashier 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
parking lot

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
1

Before the incident

walking to car after work

What happened

walking to car after my shift carefully then stepped on black ice fell hard backwards

Injury or illness

Inflammation swelling Head

Object or substance involved

Floor Walking Surface

Summary line

Inflammation swelling Head Walking Floor Walking Surface

Employee and industry

Job description
Refund Cashier
SOC code
41-2011 — Cashiers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
263
Total hours worked
389666
EIN
911223280
Establishment ID
1217794
Employer case #
WC413F2823

When (timing detail)

Date of incident
Shift started
14:00:00.000
Time of incident
20:45:00.000
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.