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 sales Team Member 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
- Store parking lot
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
He was working outside - he had been putting liquid on the field for the generator. He was coming back inside the store on the truck.
What happened
When he stepped out of the truck he slipped on ice and hit the back of his head on the running board.
Injury or illness
Scalp contusion
Object or substance involved
Ice and running board
Summary line
Stepped out of truck and slipped on ice fell and hit back of head on running board.
Employee and industry
- Job description
- Sales Team Member
- SOC code
- 41-2031: Retail Salespersons
- 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 #
- 254667
When (timing detail)
- Date of incident
- Shift started
- 05:51
- Time of incident
- 10:40
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-06
More injuries at 4223-M0100
View 4223-M0100's full OSHA safety record →
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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.
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