PLYMOUTH, WI ·
OSHA Injury Report: 4223-M1100
Injury · Other recordable case
At a glance
On , an injury at 4223-M1100 in 3110 COUNTY ROAD C, PLYMOUTH, WI 53073 resulted in other recordable case. Employee was logistics Team Lead 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
- Yard
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
He was riding on a forklift
What happened
started to feel pulling on his left hip resulting in pain
Injury or illness
Hip pain
Object or substance involved
Operating a forklift
Summary line
Riding forklift when felt pulling on left hip resulting in pain.
Employee and industry
- Job description
- Logistics Team Lead
- SOC code
- 9999: Uncoded
- NAICS code
- 452319: All Other General Merchandise Stores
- NAICS vintage
- 2017
- Employees at this establishment (2023 average)
- 135
- Hours worked at this establishment (2023 total)
- 149,796
- EIN
- 410806238
- Establishment ID
- 446222
- Employer case #
- 260671
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-28
More injuries at 4223-M1100
View 4223-M1100'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.