ANGOLA, IN ·
OSHA Injury Report: "ANGOLA IN - 3196"
Injury · Other recordable case
At a glance
On , an injury at "ANGOLA IN - 3196" in "3200 NORTH WAYNE STREET", ANGOLA, IN 46703 resulted in other recordable case. Employee was asst department manager in "Home Centers".
Where did this happen?
- Establishment
- "ANGOLA IN - 3196"
- Parent company
- "Menards"
- Street
- "3200 NORTH WAYNE STREET"
- City
- ANGOLA
- State
- IN
- ZIP
- 46703
- On-site location
- "STORE"
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
STOCKING PLANKS
What happened
SIGN FELL DOWN ONTO HIS ARM
Injury or illness
CONTUSION LEFT ARM-ELBOW
Object or substance involved
DISPLAY SIGN
Summary line
CONTUSION LEFT ARM ELBOW--DISPLAY SIGN FELL
Employee and industry
- Job description
- ASST DEPARTMENT MANAGER
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 444110: "Home Centers"
- NAICS vintage
- 2012
- Employees at this establishment (2025 average)
- 160
- Hours worked at this establishment (2025 total)
- 220,864
- EIN
- 390989248
- Establishment ID
- 1001949
- Employer case #
- 600017178
When (timing detail)
- Date of incident
- Shift started
- 11:57
- Time of incident
- 12:32
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-16
More injuries at "Angola in - 3196"
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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