APPLETON, WI ·
OSHA Injury Report: 4223-M0100
Other illness · Job transfer or restriction
At a glance
On , an other illness at 4223-M0100 in 3035 W WISCONSIN AVENUE, APPLETON, WI 54914 resulted in job transfer or restriction. Employee was logistics 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
- Backroom warehouse area of the store
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Other illness (code 6)
- Days restricted or transferred
- 1
Before the incident
Was working in the backroom warehouse area on a forklift taking down a small load of horse feed to put away in the racks.
What happened
A piece of cardboard that sits on top of the feed flipped up and dirt or dust particles flew up in his face getting into his left eye.
Injury or illness
Left eye corneal abrasion
Object or substance involved
Dirt dust
Summary line
On a forklift cardboard on top of the feed flipped up and dirt dust particles flew in his face.
Employee and industry
- Job description
- Logistics Team Member
- SOC code
- 9999: Uncoded
- 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 #
- 256129
When (timing detail)
- Date of incident
- Shift started
- 09:01
- Time of incident
- 03:15
- 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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