BEAVER DAM, WI —
OSHA Injury Report: 4223-M1000
Injury · Job transfer or restriction
At a glance
On , an injury at 4223-M1000 in BEAVER DAM, WI 53916 resulted in job transfer or restriction. Employee was tire Service and Alignment Tech in all Other General Merchandise Stores.
Where did this happen?
- Establishment
- 4223-M1000
- Street
- 1815 N SPRING ST
- City
- BEAVER DAM
- State
- WI
- ZIP
- 53916
- On-site location
- Auto Service Center
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 6
Before the incident
He was stacking tires in a trailer standing on a ladder.
What happened
As he came down off the ladder and picked the ladder up a few tires fell hitting the ladder which hit the top of his left foot near the ankle.
Injury or illness
Minor left foot injury
Object or substance involved
Tires and ladder
Summary line
Tires fell hitting ladder and top of left foot near ankle left ankle contusion.
Employee and industry
- Job description
- Tire Service and Alignment Tech
- SOC code
- 49-3093 — Tire Repairers and Changers
- NAICS code
- 452319 — All Other General Merchandise Stores
- NAICS vintage
- 2017
- Avg employees
- 118
- Total hours worked
- 142328
- EIN
- 410806238
- Establishment ID
- 446221
- Employer case #
- 254814
When (timing detail)
- Date of incident
- Shift started
- 8:55:00.000
- Time of incident
- 15:00:00.000
- Submitted
- 07FEB24:21:26:00
Source
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.