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Safety Incidents OSHA Severe Injury Reports · 2015–2025

DELAVAN, WI —

OSHA Injury Report: 4223-M5400

Other illness · Other recordable case

At a glance

On , an other illness at 4223-M5400 in 1516 E. GENEVA STREET, DELAVAN, WI 53115 resulted in other recordable case. Employee was online Fulfillment Team Member in all Other General Merchandise Stores.

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Where did this happen?

Establishment
4223-M5400
Street
1516 E. GENEVA STREET
City
DELAVAN
State
WI
ZIP
53115
On-site location
Sales floor

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Other illness (code 6)

Before the incident

She was walking down a main aisle

What happened

She felt a pop in her right knee.

Injury or illness

Right knee strain

Object or substance involved

N A

Summary line

Walking down a main aisle felt a pop in her right knee

Employee and industry

Job description
Online Fulfillment Team Member
SOC code
53-7065 — Stockers and Order Fillers
NAICS code
452319 — All Other General Merchandise Stores
NAICS vintage
2017
Avg employees
138
Total hours worked
156349
EIN
410806238
Establishment ID
446254
Employer case #
263947

When (timing detail)

Date of incident
Shift started
7:58:00.000
Time of incident
12:00:00.000
Filing year
2023
Submitted
09FEB24:20:41:00

More injuries at 4223-M5400

View 4223-M5400'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.