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Safety Incidents OSHA Severe Injury Reports · 2015–2025

APPLETON, WI —

OSHA Injury Report: 4223-M0100

Other illness · Job transfer or restriction

At a glance

On , an other illness at 4223-M0100 in 3035 W WISCONSIN AVENUE, APPLETON, WI 54914 resulted in job transfer or restriction. Employee was logistics Team Member 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
Backroom warehouse area of the store

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Other illness (code 6)
Days restricted or transferred
1

Before the incident

Was working in the backroom warehouse area on a forklift taking down a small load of horse feed to put away in the racks.

What happened

A piece of cardboard that sits on top of the feed flipped up and dirt or dust particles flew up in his face getting into his left eye.

Injury or illness

Left eye corneal abrasion

Object or substance involved

Dirt dust

Summary line

On a forklift cardboard on top of the feed flipped up and dirt dust particles flew in his face.

Employee and industry

Job description
Logistics Team Member
SOC code
9999 — Uncoded
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 #
256129

When (timing detail)

Date of incident
Shift started
9:01:00.000
Time of incident
3:15:00.000
Filing year
2023
Submitted
06FEB24:21:59:00

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.