EAU CLAIRE, WI —
OSHA Injury Report: 4223-M5200
Injury · Other recordable case
At a glance
On , an injury at 4223-M5200 in EAU CLAIRE, WI 54701 resulted in other recordable case. Employee was replenishment Team Member in all Other General Merchandise Stores.
Where did this happen?
- Establishment
- 4223-M5200
- Street
- 3165 OLD TOWN HALL ROAD
- City
- EAU CLAIRE
- State
- WI
- ZIP
- 54701
- On-site location
- Warehouse area of the store
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
He was pulling an item off of a shelf.
What happened
He hit his left knee on the corner of the box causing pain.
Injury or illness
Left knee contusion
Object or substance involved
box
Summary line
Pulling an item off of a shelf hit left knee on corner of box causing pain left knee contusion.
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
- 163
- Total hours worked
- 165255
- EIN
- 410806238
- Establishment ID
- 446252
- Employer case #
- 257673
When (timing detail)
- Date of incident
- Shift started
- 16:00:00.000
- Time of incident
- 17:30:00.000
- Submitted
- 12FEB24:19:30:00
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.