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Safety Incidents OSHA Severe Injury Reports · 2015–2025

PEWAUKEE, WI —

OSHA Injury Report: 1101 - PEWAUKEE WI

Injury · Job transfer or restriction

At a glance

On , an injury at 1101 - PEWAUKEE WI in 443 PEWAUKEE ROAD, PEWAUKEE, WI 32839 resulted in job transfer or restriction. Employee was sALES 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
RECEIVING

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
17

Before the incident

breaking down cardboard

What happened

Stepped on large cardboard bin to crush it did not give thru me off balance causing hard fall

Injury or illness

Strain Sprain Arm Right Side

Object or substance involved

Floor Walking Surface

Summary line

Strain Sprain Arm Right Side Fall from Same Level Floor Walking Surface

Employee and industry

Job description
SALES
SOC code
41-4010 — Sales Representatives, Wholesale and Manufacturing
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
263
Total hours worked
389666
EIN
911223280
Establishment ID
1217794
Employer case #
WC413F4309

When (timing detail)

Date of incident
Shift started
5:00:00.000
Time of incident
9:45:00.000
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.