Mazomanie, WI — 2024-01-12

OSHA Injury Report: 494-DC001

Injury · Job transfer or restriction

At a glance

On 2024-01-12, an injury at 494-DC001 in 400 Walter Rd, Mazomanie, WI 53560 resulted in job transfer or restriction. Employee was oRDER SELECTION in general Warehouse and Storage.

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Where did this happen?

Establishment: 494-DC001
Street: 400 Walter Rd
City: Mazomanie
State: WI
ZIP: 53560
On-site location: WAREHOUSE

What was the outcome?

Outcome: Job transfer or restriction (code 3)
Type: Injury (code 1)
Days restricted or transferred: 8

Before the incident

ORDER SELECTING

What happened

EE HOT AND HUMID IN THE STORE AND THE BAKERY CASE WAS SWEATING AND SHE SLIPPED AND FELL IN WATER INJURYING SORENESS AND LEFT FOOT AND LEFT KNEE

Injury or illness

Strained Left Elbow Struck by moving parts POWER JACK

Object or substance involved

POWER JACK

Summary line

Strained Left Elbow Struck by moving parts POWER JACK

Employee and industry

Job description: ORDER SELECTION
SOC code: 53-7065 — Stockers and Order Fillers
NAICS code: 493110 — General Warehouse and Storage
NAICS vintage: 2012
Avg employees: 78
Total hours worked: 132567
EIN: 390854535
Establishment ID: 1005301
Employer case #: 866946

When (timing detail)

Date of incident: 2024-01-12
Shift started: 6:30
Time of incident: 7:00
Filing year: 2024
Submitted: 19FEB2025:15:35:00

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View 494-DC001's full OSHA safety record →

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.