Hayward, WI —
OSHA Injury Report: L&M Fleet Supply Hayward
Injury · Days away from work
At a glance
On , an injury at L&M Fleet Supply Hayward in Hayward, WI 54843 resulted in days away from work. Employee was department Head in department stores (except discount department stores).
Where did this happen?
- Establishment
- L&M Fleet Supply Hayward
- Parent company
- L&M Fleet Supply
- Street
- 10680 State Hwy 27-77
- City
- Hayward
- State
- WI
- ZIP
- 54843
- On-site location
- Sales Floor
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 62
Before the incident
Employee was walking out of the bathroom
What happened
The employee stepped on a piece of conduit that a customer put down on the floor. The pvc rolled out and the employee fell back and she tried to catch her fall with her hands
Injury or illness
Fracture to right and left wrist
Object or substance involved
pvc pipe laying on floor.
Summary line
EE slipped on piece of pipe that customer placed on floor. EE fell back and they broke both wrists.
Employee and industry
- Job description
- Department Head
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452111 — Department stores (except discount department stores)
- NAICS vintage
- 2012
- Avg employees
- 69
- Total hours worked
- 119953
- EIN
- 452655990
- Establishment ID
- 725493
- Employer case #
- 249315
When (timing detail)
- Date of incident
- Shift started
- 7:30:00.000
- Time of incident
- 10:20:00.000
- Submitted
- 12JAN24:14:41:00
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.