Dubuque, IA —
OSHA Injury Report: Theisen Supply INC
Injury · Days away from work
At a glance
On , an injury at Theisen Supply INC in Dubuque, IA 52002 resulted in days away from work. Employee was receiving in farm supply stores.
Where did this happen?
- Establishment
- Theisen Supply INC
- Parent company
- Theisen Supply INC
- Street
- 6201 Chavenelle Road
- City
- Dubuque
- State
- IA
- ZIP
- 52002
- On-site location
- Warehouse
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 89
Before the incident
Walking around a pallet carrying a box of shoes.
What happened
Attempted to walk past the pallet. Right toe caught the inside fork well of the pallet.
Injury or illness
Shattered left elbow and minor fracture to the right elbow.
Object or substance involved
Pallet and floor
Summary line
Shattered left elbow and minor fracture to the right elbow.
Employee and industry
- Job description
- Receiving
- SOC code
- 43-5071 — Shipping, Receiving, and Inventory Clerks
- NAICS code
- 444220 — Farm supply stores
- NAICS vintage
- 2017
- Avg employees
- 154
- Total hours worked
- 263422
- EIN
- 421286174
- Establishment ID
- 546372
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 15:03:00.000
- Submitted
- 20JAN24:21:40:00
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.