Seymour, WI —
OSHA Injury Report: Performance Pallet Corp.
Injury · Job transfer or restriction
At a glance
On , an injury at Performance Pallet Corp. in Seymour, WI 54165 resulted in job transfer or restriction. Employee was cleaning Associate in pallet parts, wood, manufacturing.
Where did this happen?
- Establishment
- Performance Pallet Corp.
- Parent company
- Performance Pallet Corp.
- Street
- 112 N Mainline Drive
- City
- Seymour
- State
- WI
- ZIP
- 54165
- On-site location
- Seymour North Campus - Outside of Training Trailer
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 25
Before the incident
The employee was grabbing PPE from inventory for the floor
What happened
After exiting from [REDACTED] the employee slipped on ice and fell onto the concrete floor
Injury or illness
Strain of left shoulder initial encounter Derangement of left shoulder joint Shoulder impingement left Elbow sprain left initial encounter Other specific joint derangements of left elbow not elsewhere
Object or substance involved
Concrete floor
Summary line
Fell on ice landing on her right side injuring her arm Strain of left shoulder initial encounter Derangement of left shoulder joint Shoulder impingement left elbow sprain Other specific joint derangements of left elbow not elsewhere
Employee and industry
- Job description
- Cleaning Associate
- SOC code
- 37-2011 — Janitors and Cleaners, Except Maids and Housekeeping Cleaners
- NAICS code
- 321920 — Pallet parts, wood, manufacturing
- NAICS vintage
- 2012
- Avg employees
- 165
- Total hours worked
- 280162
- EIN
- 391893518
- Establishment ID
- 155906
- Employer case #
- AS70422
When (timing detail)
- Date of incident
- Shift started
- 4:30
- Time of incident
- 6:00
- Filing year
- 2025
- Submitted
- 26FEB26:15:51:00
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.