OCCONOMOWOC, WI —
OSHA Injury Report: 4223-M5000
Injury · Days away from work
At a glance
On , an injury at 4223-M5000 in OCCONOMOWOC, WI 53066 resulted in days away from work. Employee was yard Team Member in all Other General Merchandise Stores.
Where did this happen?
- Establishment
- 4223-M5000
- Street
- 1555 PABST FARMS BLVD
- City
- OCCONOMOWOC
- State
- WI
- ZIP
- 53066
- On-site location
- Yard
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 47
- Days restricted or transferred
- 2
Before the incident
He was loading a grill (approx. 25lbs) onto a customers vehicle
What happened
He had to grab the grill from underneath and as he did that the grill dropped down and pulled his right arm down and injured his right shoulder joint.
Injury or illness
right shoulder injury
Object or substance involved
Grill
Summary line
Loading grill grill dropped down pulling right arm.
Employee and industry
- Job description
- Yard Team Member
- SOC code
- 9999 — Uncoded
- NAICS code
- 452319 — All Other General Merchandise Stores
- NAICS vintage
- 2017
- Avg employees
- 198
- Total hours worked
- 185404
- EIN
- 410806238
- Establishment ID
- 446250
- Employer case #
- 263779
When (timing detail)
- Date of incident
- Shift started
- 8:25:00.000
- Time of incident
- 13:50:00.000
- Submitted
- 21FEB24:20:11:00
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.