APPLETON, WI ·
OSHA Injury Report: 4223-M0100
Injury · Other recordable case
At a glance
On , an injury at 4223-M0100 in 3035 W WISCONSIN AVENUE, APPLETON, WI 54914 resulted in other recordable case. Employee was gate Guard in all Other General Merchandise Stores.
Where did this happen?
- Establishment
- 4223-M0100
- Street
- 3035 W WISCONSIN AVENUE
- City
- APPLETON
- State
- WI
- ZIP
- 54914
- On-site location
- Near the gate hut in the yard.
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
He was climbing out of a truck
What happened
when he put his left foot out to get out he placed his right foot on a patch of ice and slipped and fell out of the truck and landed on and injured his upper back.
Injury or illness
Treated for back pain
Object or substance involved
slippery ice and concrete
Summary line
Climbing out of his truck slipped on ice and landed on his upper back causing upper back injury.
Employee and industry
- Job description
- Gate Guard
- SOC code
- 33-9032: Security Guards
- NAICS code
- 452319: All Other General Merchandise Stores
- NAICS vintage
- 2017
- Employees at this establishment (2023 average)
- 235
- Hours worked at this establishment (2023 total)
- 250,009
- EIN
- 410806238
- Establishment ID
- 446206
- Employer case #
- 254075
When (timing detail)
- Date of incident
- Shift started
- 06:50
- Time of incident
- 08:03
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-06
More injuries at 4223-M0100
View 4223-M0100's full OSHA safety record →
More injuries in this industry (NAICS 452319)
More injuries in WI
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.