APPLETON, WI ·
OSHA Injury Report: 4223-M0100
Injury · Job transfer or restriction
At a glance
On , an injury at 4223-M0100 in 3035 W WISCONSIN AVENUE, APPLETON, WI 54914 resulted in job transfer or restriction. Employee was yard 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
- Warehouse area of the store
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 21
Before the incident
He was retrieving a fork extension off racking to put on a lift
What happened
The forks pivoted and rolled off the racking and his left ring finger got caught between the racking and fork.
Injury or illness
Crush injury to left ring finger
Object or substance involved
fork and racking
Summary line
Retrieving fork extension off racking left ring finger caught between racking and fork.
Employee and industry
- Job description
- Yard 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 #
- 263873
When (timing detail)
- Date of incident
- Shift started
- 06:52
- Time of incident
- 08:25
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-07
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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