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Safety Incidents OSHA Severe Injury Reports · 2015–2025

BEAVER DAM, WI —

OSHA Injury Report: 4223-M1000

Injury · Job transfer or restriction

At a glance

On , an injury at 4223-M1000 in 1815 N SPRING ST, BEAVER DAM, WI 53916 resulted in job transfer or restriction. Employee was sales Team Member in all Other General Merchandise Stores.

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Where did this happen?

Establishment
4223-M1000
Street
1815 N SPRING ST
City
BEAVER DAM
State
WI
ZIP
53916
On-site location
Furniture Department on sales floor

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
2

Before the incident

He was putting an end table on a high shelf.

What happened

A drawer in the end table slid out and fell 3-4ft and struck the top of his head.

Injury or illness

Contusion - head - superior

Object or substance involved

Drawer in end table

Summary line

He was placing a table on a high shelf drawer slid out and fell 3-4ft striking top of head head-soft tissue contusion.

Employee and industry

Job description
Sales Team Member
SOC code
41-2031 — Retail Salespersons
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 #
256713

When (timing detail)

Date of incident
Shift started
7:55:00.000
Time of incident
11:30:00.000
Filing year
2023
Submitted
07FEB24:21:34:00

More injuries at 4223-M1000

View 4223-M1000'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.