PLYMOUTH, WI —
OSHA Injury Report: 4223-M1100
Injury · Days away from work
At a glance
On , an injury at 4223-M1100 in PLYMOUTH, WI 53073 resulted in days away from work. Employee was store Facilities Team Member in all Other General Merchandise Stores.
Where did this happen?
- Establishment
- 4223-M1100
- Street
- 3110 COUNTY ROAD C
- City
- PLYMOUTH
- State
- WI
- ZIP
- 53073
- On-site location
- Parking Lot
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 7
Before the incident
He was working outside retrieving shopping carts.
What happened
He slipped on ice falling and landing on his right knee.
Injury or illness
Abrasion of right knee
Object or substance involved
Ice and concrete
Summary line
Outside retrieving shopping carts slipped on ice and fell landing on right knee
Employee and industry
- Job description
- Store Facilities Team Member
- SOC code
- 9999 — Uncoded
- NAICS code
- 452319 — All Other General Merchandise Stores
- NAICS vintage
- 2017
- Avg employees
- 135
- Total hours worked
- 149796
- EIN
- 410806238
- Establishment ID
- 446222
- Employer case #
- 254071
When (timing detail)
- Date of incident
- Shift started
- 6:54:00.000
- Time of incident
- 8:15:00.000
- Submitted
- 27FEB24:21:13:00
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.