WEST BEND, WI ·
OSHA Injury Report: 4223-M0600
Injury · Days away from work
At a glance
On , an injury at 4223-M0600 in 3815 W WASHINGTON ST, WEST BEND, WI 53095 resulted in days away from work. Employee was replenishment Team Lead 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
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 19
Before the incident
She was bent over picking something up
What happened
A sledgehammer that was hanging on the wall fell about 8ft hitting her bilateral shoulder blades causing pain in both of her shoulder blades and pain in her jaw from clenching
Injury or illness
Contusion of the back trapezius muscle spasm
Object or substance involved
sledgehammer
Summary line
[REDACTED] fell off the wall hitting her bilateral shoulder
Employee and industry
- Job description
- Replenishment Team Lead
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452319: All Other General Merchandise Stores
- NAICS vintage
- 2017
- Employees at this establishment (2023 average)
- 159
- Hours worked at this establishment (2023 total)
- 165,297
- EIN
- 410806238
- Establishment ID
- 446215
- Employer case #
- 258002
When (timing detail)
- Date of incident
- Shift started
- 08:55
- Time of incident
- 14:50
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at 4223-M0600
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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