DE PERE, WI —
OSHA Injury Report: "DE PERE WI - 3281"
Injury · Other recordable case
At a glance
On , an injury at "DE PERE WI - 3281" in DE PERE, WI 54115 resulted in other recordable case. Employee was cASHIER in "Home Centers".
Where did this happen?
- Establishment
- "DE PERE WI - 3281"
- Parent company
- "Menards"
- Street
- "1313 LAWRENCE DRIVE"
- City
- DE PERE
- State
- WI
- ZIP
- 54115
- On-site location
- STORE
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
CASHIERING
What happened
SHE TRIPPED AND FELL AND BUMPED HER BUTTOCKS ON THE FLOOR AND TWISTED HER LOW BACK AND LEFT ANKLE
Injury or illness
STRAIN LOW BACK - LEFT ANKLE CONTUSION BUTTOCKS
Object or substance involved
CEMENT FLOOR
Summary line
MULTIPLE INJURIES MULTIPLE BODY PART TRIP-FALL
Employee and industry
- Job description
- CASHIER
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 444110 — "Home Centers"
- NAICS vintage
- 2022
- Avg employees
- 155
- Total hours worked
- 199649
- EIN
- 390989248
- Establishment ID
- 1002089
- Employer case #
- 6000147207
When (timing detail)
- Date of incident
- Shift started
- 13:04:00.000
- Time of incident
- 14:20:00.000
- Submitted
- 26FEB24:18:25:00
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.