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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: American Girl Retail, Inc.

Injury · Other recordable case

On , an injury at American Girl Retail, Inc. in DeForest, WI 53532 resulted in other recordable case. Employee was custodian NE in general warehousing and storage.

Establishment
American Girl Retail, Inc.
Parent company
Mattel
Street
612 Burton Blvd
City
DeForest
State
WI
ZIP
53532
On-site location
Truck Driver Entryway
Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Vacuuming a rug the rug came up causing her to lose balance and fall. Complained about back and side pain. Incident described through interpreter. Description was typed and signed by [REDACTED] - AG security officer. At [REDACTED] [REDACTED] [REDACTED] and [REDACTED] came to the lobby to inform myself and [REDACTED] that there was and injured employee at the 2nd floor first aid room. Told she hurt her back. [REDACTED] and I went up to the 2nd floor first aid room at [REDACTED]. She sitting on the couch cot crying and holding her right side. [REDACTED] was asked to be there as an interpreter. He asked her what caused the injury to her back. She said she was vacuuming a rug by the downstairs men 's bathroom and it came up causing her to fall down. She stood up and felt pain in her back and right side. Asked what time it happened and she said [REDACTED]. Asked her if she would like to lie down. She did but appeared to be in pain. At [REDACTED] her supervisor [REDACTED] came up to the room

Vacuuming a rug the rug came up causing her to lose balance and fall. Complained about back and side pain. Incident described through interpreter. Description was typed and signed by [REDACTED] - AG security officer At [REDACTED] [REDACTED] [REDACTED] and [REDACTED] came to the lobby to inform myself and [REDACTED] that there was and injured employee at the 2nd floor first aid room. Told she hurt her back. [REDACTED] and I went up to the 2nd floor first aid room at [REDACTED]. She sitting on the couch cot crying and holding her right side. [REDACTED] was asked to be there as an interpreter. He asked her what caused the injury to her back. She said she was vacuuming a rug by the downstairs men 's bathroom and it came up causing her to fall down. She stood up and felt pain in her back and right side. Asked what time it happened and she said [REDACTED]. Asked her if she would like to lie down. She did but appeared to be in pain. At [REDACTED] her supervisor [REDACTED] came up to the room

Vacuuming a rug the rug came up causing her to lose balance and fall. Complained about back and side pain. Incident described through interpreter. Description was typed and signed by [REDACTED] - AG security officer At 9:10AM 7 24 2023 [REDACTED] and [REDACTED] came to the lobby to inform myself and [REDACTED] that there was and injured employee at the 2nd floor first aid room. Told she hurt her back. [REDACTED] and I went up to the 2nd floor first aid room at 9:12AM. She sitting on the couch cot crying and holding her right side. [REDACTED] was asked to be there as an interpreter. He asked her what caused the injury to her back. She said she was vacuuming a rug by the downstairs men 's bathroom and it came up causing her to fall down. She stood up and felt pain in her back and right side. Asked what time it happened and she said 8:45AM. Asked her if she would like to lie down. She did but appeared to be in pain. At 9:14AM her supervisor [REDACTED] came up to the room to see abou

Vacuuming a rug the rug came up causing her to lose balance and fall. Complained about back and side pain. Incident described through interpreter. Description was typed and signed by [REDACTED] - AG security officer At 9:10AM 7 24 2023 [REDACTED] and [REDACTED] came to the lobby to inform myself and [REDACTED] that there was and injured employee at the 2nd floor first aid room. Told she hurt her back. [REDACTED] and I went up to the 2nd floor first aid room at 9:12AM. She sitting on the couch cot crying and holding her right side. [REDACTED] was asked to be there as an interpreter. He asked her what caused the injury to her back. She said she was vacuuming a rug by the downstairs men 's bathroom and it came up causing her to fall down. She stood up and felt pain in her back and right side. Asked what time it happened and she said 8:45AM. Asked her if she would like to lie down. She did but appeared to be in pain. At 9:14AM her supervisor [REDACTED] came up to the room to see abou

Vacuuming a rug the rug came up causing her to lose balance and fall. Complained about back and side pain. Incident described through interpreter. Description was typed and signed by [REDACTED] - AG security officer At [REDACTED] [REDACTED] [REDACTED]

Job description
Custodian NE
SOC code
37-2011 — Janitors and Cleaners, Except Maids and Housekeeping Cleaners
NAICS code
493110 — General warehousing and storage
NAICS vintage
2022
Avg employees
141
Total hours worked
102553
EIN
562418552
Establishment ID
1182648
Employer case #
1
Date of incident
Shift started
7:00:00.000
Time of incident
8:53:00.000
Submitted
28FEB24:16:25:00

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.