2,042,423Injury reports 130,778Establishments Most recent incident 2025-12-31
Safety Incidents OSHA Severe Injury Reports · 2015–2025

ANTIGO, WI —

OSHA Injury Report: 4223-M1900

Injury · Days away from work

At a glance

On , an injury at 4223-M1900 in 2511 NEVA RD, ANTIGO, WI 54409 resulted in days away from work. Employee was store Facilities Team Member in all Other General Merchandise Stores.

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Where did this happen?

Establishment
4223-M1900
Street
2511 NEVA RD
City
ANTIGO
State
WI
ZIP
54409
On-site location
Sales floor

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
1

Before the incident

Turning back in the maintenance key and he was stepping around someone else to get in that area.

What happened

As he stepped around he caught the side of his shoe and went down. He protected his head with his left arm and then his right arm went out and he heard a snap in his right shoulder resulting in sharp pain to his right shoulder.

Injury or illness

Right shoulder injury

Object or substance involved

concrete floor

Summary line

Stepping around and he caught the side of his shoe and fell down causing a right shoulder injury

Employee and industry

Job description
Store Facilities Team Member
SOC code
9999 — Uncoded
NAICS code
452319 — All Other General Merchandise Stores
NAICS vintage
2017
Avg employees
121
Total hours worked
149960
EIN
410806238
Establishment ID
446230
Employer case #
265922

When (timing detail)

Date of incident
Shift started
8:55:00.000
Time of incident
13:50:00.000
Filing year
2023
Submitted
06FEB24:21:04:00

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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 — no per-record IMIS deep link exists.