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 sUP HOURLY 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
- MAJORS SALES
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 27
Before the incident
stocking department
What happened
was lifting a tv onto pallet when I felt my knee lock up and pain
Injury or illness
Strain Sprain Knee Left Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Knee Left Side Lifting Merchandise
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 263
- Total hours worked
- 389666
- EIN
- 911223280
- Establishment ID
- 1217794
- Employer case #
- WC413F4612
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 6:30:00.000
- Filing year
- 2023
- Submitted
- 04MAR24:19:25:00
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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.