WEST BEND, WI —
OSHA Injury Report: 4223-M0600
Injury · Days away from work
At a glance
On , an injury at 4223-M0600 in WEST BEND, WI 53095 resulted in days away from work. Employee was yard Team Member 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
- Warehouse area of the store
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 59
- Days restricted or transferred
- 121
Before the incident
He was working in the receiving department of the warehouse moving a heavy box
What happened
When laying it down on a pallet he felt and heard something snap on the right inside elbow
Injury or illness
Bicep tear
Object or substance involved
Moving heavy box
Summary line
Moving heavy box felt and heard snap on right inside elbow
Employee and industry
- Job description
- Yard Team Member
- SOC code
- 9999 — Uncoded
- 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 #
- 254834
When (timing detail)
- Date of incident
- Shift started
- 9:51:00.000
- Time of incident
- 0:35:00.000
- Submitted
- 29FEB24:19:50:00
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.