MERRILLVILLE, IN ·
OSHA Injury Report: "MERRILLVILLE IN - 3504"
Injury · Other recordable case
At a glance
On , an injury at "MERRILLVILLE IN - 3504" in "6300 MISSISSIPPE STREET", MERRILLVILLE, IN 46410 resulted in other recordable case. Employee was department manager in "Home Centers".
Where did this happen?
- Establishment
- "MERRILLVILLE IN - 3504"
- Parent company
- "Menards"
- Street
- "6300 MISSISSIPPE STREET"
- City
- MERRILLVILLE
- State
- IN
- ZIP
- 46410
- On-site location
- RECEIVING
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WORKING IN RECEIVING
What happened
STEPPED ON BOARD TRIPPED AND FELL FORWARD ONTO RIGHT ARM BUMPED HEAD ON ROLLER
Injury or illness
LACERATION HEAD PAIN RIGHT FOREARM
Object or substance involved
LUMBER AND GRAVITY ROLLER
Summary line
MULTIPLE INJURY--TRIPPED AND BUMPED ROLLER ON GRAVITY FEED
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)
- 179
- Hours worked at this establishment (2023 total)
- 260,460
- EIN
- 390989248
- Establishment ID
- 1002356
- Employer case #
- 6000151810
When (timing detail)
- Date of incident
- Shift started
- 08:56
- Time of incident
- 10:44
- 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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