De Forest, WI ·
OSHA Injury Report: Peterbilt of Wisconsin, Inc. - Madison
Injury · Job transfer or restriction
At a glance
On , an injury at Peterbilt of Wisconsin, Inc. - Madison in 4205 Anderson Rd, De Forest, WI 53532 resulted in job transfer or restriction. Employee was warehouse Coordinator in motor vehicle merchant wholesalers.
Where did this happen?
- Establishment
- Peterbilt of Wisconsin, Inc. - Madison
- Parent company
- Peterbilt of Wisconsin, Inc. - Madison
- Street
- 4205 Anderson Rd
- City
- De Forest
- State
- WI
- ZIP
- 53532
- On-site location
- Outside by LP storage
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 110
Before the incident
Changing LP tank on forklift
What happened
Employee was changing the LP tank on the forklift went to turn a valve & heard a crack in her right wrist
Injury or illness
Right wrist contusion
Object or substance involved
LP Tank
Summary line
Right wrist contusion
Employee and industry
- Job description
- Warehouse Coordinator
- SOC code
- 43-9199: Office and Administrative Support Workers, All Other
- NAICS code
- 423110: Motor vehicle merchant wholesalers
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 90
- Hours worked at this establishment (2023 total)
- 116,636
- EIN
- 391572340
- Establishment ID
- 959823
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 15:10
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-09
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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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