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PEWAUKEE, WI —

OSHA Injury Report: 1101 - PEWAUKEE WI

Injury · Other recordable case

At a glance

On , an injury at 1101 - PEWAUKEE WI in 443 PEWAUKEE ROAD, PEWAUKEE, WI 32839 resulted in other recordable case. Employee was fORKLIFT DRIVER 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 FREEZER

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

Blocking down

What happened

I was pulling a box in freezer and felt a sharp pain in my right shoulder

Injury or illness

Strain Sprain Shoulder Right Side

Object or substance involved

Merchandise

Summary line

Strain Sprain Shoulder Right Side Pulling Merchandise

Employee and industry

Job description
FORKLIFT DRIVER
SOC code
53-7051 — Industrial Truck and Tractor Operators
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
263
Total hours worked
389666
EIN
911223280
Establishment ID
1217794
Employer case #
WC413F4936

When (timing detail)

Date of incident
Shift started
18:00:00.000
Time of incident
20:10:00.000
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.