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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
Stairs

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
43

Before the incident

Walking down the stairs

What happened

He suddenly slipped and fell on his butt with his right foot under his leg and he heard a popping sensation on his right knee.

Injury or illness

Right knee pain

Object or substance involved

Stairs

Summary line

Walking down stairs slipped and fell causing injury to right knee.

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 #
266352

When (timing detail)

Date of incident
Shift started
6:59:00.000
Time of incident
15:15:00.000
Filing year
2023
Submitted
07FEB24:21:49:00

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.