Delavan, WI —
OSHA Injury Report: G10 Inc.
Injury · Days away from work
At a glance
On , an injury at G10 Inc. in Delavan, WI 53115 resulted in days away from work. Employee was weekend Warehouse Associate Wilmot in 455219 All Other General Merchandise Retailers.
Where did this happen?
- Establishment
- G10 Inc.
- Parent company
- G10 Inc.
- Street
- 1501 E Wisconsin Street
- City
- Delavan
- State
- WI
- ZIP
- 53115
- On-site location
- warehouse near the gaylord
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
Before the incident
walking to dispose of empty corrugated boxes in a gaylord
What happened
While walking to dispose of empty corrugated boxes in a gaylord employe tripped on the corner of a flatbed cart. This caused them to lose her balance and fall to the floor with their left shoulder making contact with the ground.
Injury or illness
Although no first aid was administered immediately after the fall as she felt fine at the time she began experiencing pain in her left shoulder about a week later.
Object or substance involved
flatbed cart
Summary line
Left Shoulder Injury
Employee and industry
- Job description
- Weekend Warehouse Associate Wilmot
- SOC code
- 9999 — Uncoded
- NAICS code
- 455219 — 455219 All Other General Merchandise Retailers
- NAICS vintage
- 2022
- Avg employees
- 333
- Total hours worked
- 455219
- EIN
- 270992155
- Establishment ID
- 1148197
- Employer case #
- 2046114742
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 12:00
- Filing year
- 2024
- Submitted
- 25FEB2025:21:59:00
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.