FOND DU LAC, WI —
OSHA Injury Report: 4223-M0200
Injury · Days away from work
At a glance
On , an injury at 4223-M0200 in FOND DU LAC, WI 54935 resulted in days away from work. Employee was replenishment Team Member in all Other General Merchandise Stores.
Where did this happen?
- Establishment
- 4223-M0200
- Street
- 800 SOUTH MILITARY
- City
- FOND DU LAC
- State
- WI
- ZIP
- 54935
- On-site location
- Farm Department
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 28
- Days restricted or transferred
- 21
Before the incident
EE was turning over a black wire dump table with a co-worker
What happened
The edge of the table (25lbs) dropped and fell landing on her right foot over the right big toe.
Injury or illness
Right foot crush injury
Object or substance involved
Table
Summary line
Turning over black wire dump table edge of table (25lbs) dropped on right big toe
Employee and industry
- Job description
- Replenishment Team Member
- SOC code
- 9999 — Uncoded
- NAICS code
- 452319 — All Other General Merchandise Stores
- NAICS vintage
- 2017
- Avg employees
- 145
- Total hours worked
- 145906
- EIN
- 410806238
- Establishment ID
- 446208
- Employer case #
- 253159
When (timing detail)
- Date of incident
- Shift started
- 4:55:00.000
- Time of incident
- 7:30:00.000
- Submitted
- 05FEB24:21:45:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.