DEFOREST, WI —
OSHA Injury Report: 4223-M5300
Injury · Job transfer or restriction
At a glance
On , an injury at 4223-M5300 in DEFOREST, WI 53532 resulted in job transfer or restriction. Employee was replenishment Team Member in all Other General Merchandise Stores.
Where did this happen?
- Establishment
- 4223-M5300
- Street
- 4630 DALMORE ROAD
- City
- DEFOREST
- State
- WI
- ZIP
- 53532
- On-site location
- Sales floor
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 4
Before the incident
Working off of a u-boat with some blue totes
What happened
She was lifting a full tote into an empty tote and as she listed the tote she twisted her lower back on the right side causing shooting pain that radiated up her shoulder and she had difficulty walking.
Injury or illness
Lumbar strain
Object or substance involved
Totes
Summary line
Lift full tote low back right side pain radiates to shoulder and difficulty walking
Employee and industry
- Job description
- Replenishment Team Member
- SOC code
- 9999 — Uncoded
- NAICS code
- 452319 — All Other General Merchandise Stores
- NAICS vintage
- 2017
- Avg employees
- 162
- Total hours worked
- 167373
- EIN
- 410806238
- Establishment ID
- 446253
- Employer case #
- 259020
When (timing detail)
- Date of incident
- Shift started
- 4:55:00.000
- Time of incident
- 6:00:00.000
- Submitted
- 09FEB24:19:57:00
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.