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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 4223-M1000

Injury · Job transfer or restriction

On , an injury at 4223-M1000 in 1815 N SPRING ST, BEAVER DAM, WI 53916 resulted in job transfer or restriction. Employee was tire Service and Alignment Tech in all Other General Merchandise Stores.

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Establishment
4223-M1000
Street
1815 N SPRING ST
City
BEAVER DAM
State
WI
ZIP
53916
On-site location
Auto Service Center
Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
6

He was stacking tires in a trailer standing on a ladder.

As he came down off the ladder and picked the ladder up a few tires fell hitting the ladder which hit the top of his left foot near the ankle.

Minor left foot injury

Tires and ladder

Tires fell hitting ladder and top of left foot near ankle left ankle contusion.

Job description
Tire Service and Alignment Tech
SOC code
49-3093 — Tire Repairers and Changers
NAICS code
452319 — All Other General Merchandise Stores
NAICS vintage
2017
Avg employees
118
Total hours worked
142328
EIN
410806238
Establishment ID
446221
Employer case #
254814
Date of incident
Shift started
8:55:00.000
Time of incident
15:00:00.000
Filing year
2023
Submitted
07FEB24:21:26:00

View 4223-M1000's full OSHA safety record →

WM 5373

WM 3497

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.