Janesville, WI —
OSHA Injury Report: Blain Supply
Injury · Days away from work
At a glance
On , an injury at Blain Supply in Janesville, WI 53547 resulted in days away from work. Employee was dC Lead in general Warehouse.
Where did this happen?
- Establishment
- Blain Supply
- Parent company
- Blains
- Street
- 3507 East Racine Street
- City
- Janesville
- State
- WI
- ZIP
- 53547
- On-site location
- Warehouse
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 4
- Days restricted or transferred
- 21
Before the incident
Pulling a dock plate out of a trailer and shutting the trailer door.
What happened
Employee was unloading a pallet from a trailer as the employee shut the trailer door the driver pulled out making the employee fall from the dock of the warehouse to the outside cement ground.
Injury or illness
Left knee elbow and buttock injury
Object or substance involved
Asphalt parking lot
Summary line
tailbone injury from dock plate fall.
Employee and industry
- Job description
- DC Lead
- SOC code
- 53-1042 — First-Line Supervisors of Helpers, Laborers, and Material Mover
- NAICS code
- 493110 — General Warehouse
- NAICS vintage
- 2012
- Avg employees
- 633
- Total hours worked
- 1189974
- EIN
- 391104710
- Establishment ID
- 931558
- Employer case #
- AI-01-25-
When (timing detail)
- Date of incident
- Shift started
- 4:30
- Time of incident
- 7:39
- Filing year
- 2025
- Submitted
- 23FEB26:19:45:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.