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 tire Specialist 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
- Auto Service Center
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 5
Before the incident
He use all his strength and pulled himself back causing his left elbow to hit the nearby rack
What happened
As he
Injury or illness
Contusion of left elbow
Object or substance involved
metal rack
Summary line
Loosening a nut under a vehicle causing his left elbow to hit the nearby metal rack.
Employee and industry
- Job description
- Tire Specialist
- SOC code
- 49-3093: Tire Repairers and Changers
- 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 #
- 263081
When (timing detail)
- Date of incident
- Shift started
- 07:50
- Time of incident
- 13:40
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-27
More injuries at 4223-M1700
View 4223-M1700's full OSHA safety record →
More injuries in this industry (NAICS 452319)
More injuries in WI
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.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.