BELOIT, WI ·
OSHA Injury Report: BELOIT-PDM-BELOIT
Injury · Job transfer or restriction
At a glance
On , an injury at BELOIT-PDM-BELOIT in 375 WILLOWBROOK RD, BELOIT, WI 53511 resulted in job transfer or restriction. Employee was warehouse II in wholesale distribution.
Where did this happen?
- Establishment
- BELOIT-PDM-BELOIT
- Parent company
- PALMER DONAVIN MFG CO
- Street
- 375 WILLOWBROOK RD
- City
- BELOIT
- State
- WI
- ZIP
- 53511
- On-site location
- Lite warehouse
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 11
Before the incident
maving materials from the pallet
What happened
He was trying to lift a box by hand from a pallet. In doing so his foot got stuck between the slats of a pallet causing him to trip and fall foreward onto the floor. He used his left arm to brace his fall. He felt a little bit of pain at the time in his left shoulder area.
Injury or illness
Left shoulder strain
Object or substance involved
the floor
Summary line
tripped over pallet and used arm to brace himself resulting in injury to shoulder.
Employee and industry
- Job description
- Warehouse II
- SOC code
- 53-7062: Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 423390: WHOLESALE DISTRIBUTION
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 73
- Hours worked at this establishment (2024 total)
- 183,499
- EIN
- 314274980
- Establishment ID
- 812644
- Employer case #
- 2022062
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2024
- Submitted to OSHA
- 2025-01-31
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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