APPLETON, WI —
OSHA Injury Report: 4223-M0100
Injury · Other recordable case
At a glance
On , an injury at 4223-M0100 in 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
- Avg employees
- 235
- Total hours worked
- 250009
- EIN
- 410806238
- Establishment ID
- 446206
- Employer case #
- 254075
When (timing detail)
- Date of incident
- Shift started
- 6:50:00.000
- Time of incident
- 8:03:00.000
- Submitted
- 06FEB24:21:19:00
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.