WEST BEND, WI —
OSHA Injury Report: 4223-M0600
Injury · Other recordable case
At a glance
On , an injury at 4223-M0600 in WEST BEND, WI 53095 resulted in other recordable case. Employee was auto Service Manager in all Other General Merchandise Stores.
Where did this happen?
- Establishment
- 4223-M0600
- Street
- 3815 W WASHINGTON ST
- City
- WEST BEND
- State
- WI
- ZIP
- 53095
- On-site location
- Sales floor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
He was talking to a customer
What happened
He stepped back and tripped over a pallet that was on the floor landing on his right butt cheek right elbow and injuring his right knee.
Injury or illness
acute pain of right knee
Object or substance involved
pallet
Summary line
Stepped back tripped over pallet fell on backside multiple strains
Employee and industry
- Job description
- Auto Service Manager
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452319 — All Other General Merchandise Stores
- NAICS vintage
- 2017
- Avg employees
- 159
- Total hours worked
- 165297
- EIN
- 410806238
- Establishment ID
- 446215
- Employer case #
- 254584
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 14:00:00.000
- Submitted
- 29FEB24:19:43:00
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.