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
- Sales Floor
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 59
Before the incident
Stocking shelves on the sales floor.
What happened
While stocking the shelves he stood up and hit his head on a steel rack and lost consciousness.
Injury or illness
Head laceration
Object or substance involved
steel racking
Summary line
Stocking shelves when he stood up hit his head on a beam.
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 #
- 255402
When (timing detail)
- Date of incident
- Shift started
- 4:23:00.000
- Time of incident
- 6:20:00.000
- Submitted
- 05FEB24:21:56:00
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.