PLYMOUTH, WI —
OSHA Injury Report: 4223-M1100
Injury · Job transfer or restriction
At a glance
On , an injury at 4223-M1100 in PLYMOUTH, WI 53073 resulted in job transfer or restriction. Employee was customer Service 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
- Sales Floor
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 33
Before the incident
She was weighing some product for a customer.
What happened
She turned back around and tripped over a cord used for engraving batteries and fell on the floor landing on her hand and knees and impacting her elbows her left hip and injuring her lower back.
Injury or illness
Sprain of right thumb
Object or substance involved
Cord concrete floor
Summary line
Tripped over cord fell on floor landed on hands knees elbows left hip
Employee and industry
- Job description
- Customer Service Team Member
- SOC code
- 43-4051 — Customer Service Representatives
- 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 #
- 263336
When (timing detail)
- Date of incident
- Shift started
- 10:55:00.000
- Time of incident
- 12:15:00.000
- Submitted
- 28FEB24:15:03:00
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.