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Safety Incidents OSHA Severe Injury Reports · 2015–2025

APPLETON, WI —

OSHA Injury Report: 4223-M0100

Injury · Other recordable case

At a glance

On , an injury at 4223-M0100 in 3035 W WISCONSIN AVENUE, APPLETON, WI 54914 resulted in other recordable case. Employee was gate Guard in all Other General Merchandise Stores.

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Where did this happen?

Establishment
4223-M0100
Street
3035 W WISCONSIN AVENUE
City
APPLETON
State
WI
ZIP
54914
On-site location
Near the gate hut in the yard.

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

He was climbing out of a truck

What happened

when he put his left foot out to get out he placed his right foot on a patch of ice and slipped and fell out of the truck and landed on and injured his upper back.

Injury or illness

Treated for back pain

Object or substance involved

slippery ice and concrete

Summary line

Climbing out of his truck slipped on ice and landed on his upper back causing upper back injury.

Employee and industry

Job description
Gate Guard
SOC code
33-9032 — Security Guards
NAICS code
452319 — All Other General Merchandise Stores
NAICS vintage
2017
Avg employees
235
Total hours worked
250009
EIN
410806238
Establishment ID
446206
Employer case #
254075

When (timing detail)

Date of incident
Shift started
6:50:00.000
Time of incident
8:03:00.000
Filing year
2023
Submitted
06FEB24:21:19:00

More injuries at 4223-M0100

View 4223-M0100's full OSHA safety record →

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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.