FOND DU LAC, WI —
OSHA Injury Report: 4223-M0200
Injury · Other recordable case
At a glance
On , an injury at 4223-M0200 in FOND DU LAC, WI 54935 resulted in other recordable case. Employee was logistics 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
- Back of store
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking in the back of the store.
What happened
Stepped on a broken piece of wood from a pallet that had a nail sticking out of it. This caused the nail to go through his shoe and puncture the bottom of his left foot.
Injury or illness
Left foot puncture.
Object or substance involved
Nail
Summary line
Stepped on a broken pallet nail went through shoe left foot puncture.
Employee and industry
- Job description
- Logistics 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 #
- 257989
When (timing detail)
- Date of incident
- Shift started
- 15:57:00.000
- Time of incident
- 19:20:00.000
- Submitted
- 06FEB24:19:20:00
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.