BEAVER DAM, WI ·
OSHA Injury Report: "BEAVER DAM WI - 3224"
Injury · Days away from work
At a glance
On , an injury at "BEAVER DAM WI - 3224" in "121 FRANCES LANE", BEAVER DAM, WI 53916 resulted in days away from work. Employee was department manager in "Home Centers".
Where did this happen?
- Establishment
- "BEAVER DAM WI - 3224"
- Parent company
- "Menards"
- Street
- "121 FRANCES LANE"
- City
- BEAVER DAM
- State
- WI
- ZIP
- 53916
- On-site location
- STORE
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 5
Before the incident
MIXING PAINT
What happened
FELT PULL IN SHOULDER LIFTING UP BUCKET
Injury or illness
SPRAIN RIGHT SHOULDER
Object or substance involved
5-GALLON BUCKET PAINT
Summary line
SPRAIN RIGHT SHOULDER--LIFTING BUCKET OF PAINT
Employee and industry
- Job description
- DEPARTMENT MANAGER
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 444110: "Home Centers"
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 149
- Hours worked at this establishment (2023 total)
- 198,577
- EIN
- 390989248
- Establishment ID
- 1001982
- Employer case #
- 6000148678
When (timing detail)
- Date of incident
- Shift started
- 08:00
- Time of incident
- 11:35
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-26
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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