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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 4223-M0100

Injury · Job transfer or restriction

On , an injury at 4223-M0100 in APPLETON, WI 54914 resulted in job transfer or restriction. Employee was yard Team Member in all Other General Merchandise Stores.

Establishment
4223-M0100
Street
3035 W WISCONSIN AVENUE
City
APPLETON
State
WI
ZIP
54914
On-site location
Warehouse area of the store
Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
21

He was retrieving a fork extension off racking to put on a lift

The forks pivoted and rolled off the racking and his left ring finger got caught between the racking and fork.

Crush injury to left ring finger

fork and racking

Retrieving fork extension off racking left ring finger caught between racking and fork.

Job description
Yard Team Member
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 #
263873
Date of incident
Shift started
6:52:00.000
Time of incident
8:25:00.000
Submitted
07FEB24:20:16:00

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.