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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 4223-M0100

Other illness · Other recordable case

On , an other illness at 4223-M0100 in APPLETON, WI 54914 resulted in other recordable case. Employee was full Line Technician in all Other General Merchandise Stores.

Establishment
4223-M0100
Street
3035 W WISCONSIN AVENUE
City
APPLETON
State
WI
ZIP
54914
On-site location
Auto Service Center
Outcome
Other recordable case (code 4)
Type
Other illness (code 6)

He was performing a break job on a vehicle.

A piece of material got underneath his safety glasses and into his right eye.

Right Eye Symptoms

Piece of unknown material while performing a break job

Performing a brake job piece of material got underneath safety glasses into right eye.

Job description
Full Line Technician
SOC code
9999 — Uncoded
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 #
259757
Date of incident
Shift started
7:50:00.000
Time of incident
8:30:00.000
Submitted
07FEB24:19:48:00

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.