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Safety Incidents OSHA Severe Injury Reports · 2015–2025

DEFOREST, WI —

OSHA Injury Report: 4223-M5300

Injury · Job transfer or restriction

At a glance

On , an injury at 4223-M5300 in 4630 DALMORE ROAD, DEFOREST, WI 53532 resulted in job transfer or restriction. Employee was replenishment Team Member in all Other General Merchandise Stores.

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Where did this happen?

Establishment
4223-M5300
Street
4630 DALMORE ROAD
City
DEFOREST
State
WI
ZIP
53532
On-site location
Sales floor

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
4

Before the incident

Working off of a u-boat with some blue totes

What happened

She was lifting a full tote into an empty tote and as she listed the tote she twisted her lower back on the right side causing shooting pain that radiated up her shoulder and she had difficulty walking.

Injury or illness

Lumbar strain

Object or substance involved

Totes

Summary line

Lift full tote low back right side pain radiates to shoulder and difficulty walking

Employee and industry

Job description
Replenishment Team Member
SOC code
9999 — Uncoded
NAICS code
452319 — All Other General Merchandise Stores
NAICS vintage
2017
Avg employees
162
Total hours worked
167373
EIN
410806238
Establishment ID
446253
Employer case #
259020

When (timing detail)

Date of incident
Shift started
4:55:00.000
Time of incident
6:00:00.000
Filing year
2023
Submitted
09FEB24:19:57:00

More injuries at 4223-M5300

View 4223-M5300'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.