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 sales Team Member 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
- Furniture Department on sales floor
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 2
Before the incident
He was putting an end table on a high shelf.
What happened
A drawer in the end table slid out and fell 3-4ft and struck the top of his head.
Injury or illness
Contusion - head - superior
Object or substance involved
Drawer in end table
Summary line
He was placing a table on a high shelf drawer slid out and fell 3-4ft striking top of head head-soft tissue contusion.
Employee and industry
- Job description
- Sales Team Member
- SOC code
- 41-2031 — Retail Salespersons
- 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 #
- 256713
When (timing detail)
- Date of incident
- Shift started
- 7:55:00.000
- Time of incident
- 11:30:00.000
- Submitted
- 07FEB24:21:34:00
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.