DELAVAN, WI —
OSHA Injury Report: 4223-M5400
Other illness · Other recordable case
At a glance
On , an other illness at 4223-M5400 in DELAVAN, WI 53115 resulted in other recordable case. Employee was online Fulfillment Team Member in all Other General Merchandise Stores.
Where did this happen?
- Establishment
- 4223-M5400
- Street
- 1516 E. GENEVA STREET
- City
- DELAVAN
- State
- WI
- ZIP
- 53115
- On-site location
- Sales floor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Other illness (code 6)
Before the incident
She was walking down a main aisle
What happened
She felt a pop in her right knee.
Injury or illness
Right knee strain
Object or substance involved
N A
Summary line
Walking down a main aisle felt a pop in her right knee
Employee and industry
- Job description
- Online Fulfillment Team Member
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 452319 — All Other General Merchandise Stores
- NAICS vintage
- 2017
- Avg employees
- 138
- Total hours worked
- 156349
- EIN
- 410806238
- Establishment ID
- 446254
- Employer case #
- 263947
When (timing detail)
- Date of incident
- Shift started
- 7:58:00.000
- Time of incident
- 12:00:00.000
- Submitted
- 09FEB24:20:41:00
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.