Sheboygan Falls, WI —
OSHA Injury Report: Poly Vinyl Co.
Injury · Job transfer or restriction
At a glance
On , an injury at Poly Vinyl Co. in 320 Range Line Road, Sheboygan Falls, WI 53085 resulted in job transfer or restriction. Employee was warehouse Support in profile shapes (e.g., rod, tube), nonrigid plastics, manufacturing.
Where did this happen?
- Establishment
- Poly Vinyl Co.
- Parent company
- Poly Vinyl Co.
- Street
- 320 Range Line Road
- City
- Sheboygan Falls
- State
- WI
- ZIP
- 53085
- On-site location
- CC aisle
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 85
Before the incident
EE was helping set up a work zone.
What happened
As EE was stepping back he stepped on a pallet tripped and fell on his right side.
Injury or illness
Right shoulder rotator cuff injury.
Object or substance involved
Floor
Summary line
right shoulder
Employee and industry
- Job description
- Warehouse Support
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 326121 — Profile shapes (e.g., rod, tube), nonrigid plastics, manufacturing
- NAICS vintage
- 2012
- Avg employees
- 155
- Total hours worked
- 263830
- EIN
- 202015379
- Establishment ID
- 660984
- Employer case #
- 202420
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 14:00
- Filing year
- 2024
- Submitted
- 15APR2025:17:19:00
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View Poly Vinyl Co.'s full OSHA safety record →
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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 — no per-record IMIS deep link exists.