OSHKOSH, WI ·
OSHA Injury Report: 4223-M1700
Injury · Job transfer or restriction
At a glance
On , an injury at 4223-M1700 in 177 N WASHBURN, OSHKOSH, WI 54904 resulted in job transfer or restriction. Employee was sales Team Member in all Other General Merchandise Stores.
Where did this happen?
- Establishment
- 4223-M1700
- Street
- 177 N WASHBURN
- City
- OSHKOSH
- State
- WI
- ZIP
- 54904
- On-site location
- Parking lot of the store
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 122
Before the incident
He was brining pallets in from outside the farm door
What happened
He went to take an empty pallet out and throw it on the pile when he stepped on black ice fell to the ground and when he got back up he felt a twinge in his lower back.
Injury or illness
Low back strain
Object or substance involved
Ice concrete
Summary line
Went to throw empty pallet out and stepped on black ice low back strain.
Employee and industry
- Job description
- Sales Team Member
- SOC code
- 41-2031: Retail Salespersons
- NAICS code
- 452319: All Other General Merchandise Stores
- NAICS vintage
- 2017
- Employees at this establishment (2023 average)
- 138
- Hours worked at this establishment (2023 total)
- 149,749
- EIN
- 410806238
- Establishment ID
- 446228
- Employer case #
- 254156
When (timing detail)
- Date of incident
- Shift started
- 07:55
- Time of incident
- 09:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-27
More injuries at 4223-M1700
View 4223-M1700's full OSHA safety record →
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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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