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
- Stairs
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 43
Before the incident
Walking down the stairs
What happened
He suddenly slipped and fell on his butt with his right foot under his leg and he heard a popping sensation on his right knee.
Injury or illness
Right knee pain
Object or substance involved
Stairs
Summary line
Walking down stairs slipped and fell causing injury to right knee.
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 #
- 266352
When (timing detail)
- Date of incident
- Shift started
- 6:59:00.000
- Time of incident
- 15:15:00.000
- Submitted
- 07FEB24:21:49:00
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.