WAUPACA, WI —
OSHA Injury Report: 4223-M1200
Injury · Other recordable case
At a glance
On , an injury at 4223-M1200 in WAUPACA, WI 54981 resulted in other recordable case. Employee was logistics Team Member in all Other General Merchandise Stores.
Where did this happen?
- Establishment
- 4223-M1200
- Street
- 2016 FARM DRIVE
- City
- WAUPACA
- State
- WI
- ZIP
- 54981
- On-site location
- Stock room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
He was loading cases of water onto lower shelves and then pulling a heavy pallet loaded with cases of water from the back room.
What happened
He woke up in the middle [REDACTED] and noticed a black bruise on the lower right left cage that was tender.
Injury or illness
Chest contusion
Object or substance involved
lifting pulling cases of water
Summary line
Loading cases of water pulling heavy pallet chest contusion
Employee and industry
- Job description
- Logistics Team Member
- SOC code
- 9999 — Uncoded
- NAICS code
- 452319 — All Other General Merchandise Stores
- NAICS vintage
- 2017
- Avg employees
- 152
- Total hours worked
- 145240
- EIN
- 410806238
- Establishment ID
- 446223
- Employer case #
- 257048
When (timing detail)
- Date of incident
- Shift started
- 6:56:00.000
- Time of incident
- 10:00:00.000
- Submitted
- 29FEB24:16:12:00
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.