GRAND CHUTE, WI —
OSHA Injury Report: "APPLETON WEST WI - 3030"
Injury · Days away from work
At a glance
On , an injury at "APPLETON WEST WI - 3030" in GRAND CHUTE, WI 549139199 resulted in days away from work. Employee was lOAD BUILDER in "Home Centers".
Where did this happen?
- Establishment
- "APPLETON WEST WI - 3030"
- Parent company
- "Menards"
- Street
- "5105 INTEGRITY WAY"
- City
- GRAND CHUTE
- State
- WI
- ZIP
- 549139199
- On-site location
- "YARD"
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
DRIVING FORKLIFT
What happened
HE STRUCK THE FORKLIFT INTO A PILLAR CAUSING THE FORKLIFT TO JERK HIS HEAD AND NECK
Injury or illness
WHIPLASH NECK CONCUSSION-HEADACHE-LIGHT SENSITIVITY HEAD
Object or substance involved
CEMENT PILLAR FORKLIFT
Summary line
MULTIPLE INJURIES MULTIPLE BODY PARTS STRUCK FORKLIFT INTO CONCRETE PILLAR
Employee and industry
- Job description
- LOAD BUILDER
- SOC code
- 9999 — Uncoded
- NAICS code
- 444110 — "Home Centers"
- NAICS vintage
- 2012
- Avg employees
- 172
- Total hours worked
- 254353
- EIN
- 390989248
- Establishment ID
- 1001963
- Employer case #
- 6000159005
When (timing detail)
- Date of incident
- Shift started
- 11:56
- Time of incident
- 12:15
- Filing year
- 2024
- Submitted
- 24FEB2025:21:48:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.