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Safety Incidents OSHA Severe Injury Reports · 2015–2025

DELAVAN, WI —

OSHA Injury Report: 4223-M5400

Injury · Days away from work

At a glance

On , an injury at 4223-M5400 in 1516 E. GENEVA STREET, DELAVAN, WI 53115 resulted in days away from work. Employee was cashier 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
Counter cash register

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
4
Days restricted or transferred
14

Before the incident

She bent over the counter reaching at shoulder level to lift a bag (approx. 20lbs).

What happened

while lifting the bag this caused pain in her left upper arm.

Injury or illness

Left upper arm strain

Object or substance involved

bag weighing approx. 20lbs

Summary line

She bent over the counter reaching at shoulder level to lift a bag - Left Upper Arm Strain

Employee and industry

Job description
Cashier
SOC code
41-2011 — Cashiers
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 #
265109

When (timing detail)

Date of incident
Shift started
6:50:00.000
Time of incident
10:25:00.000
Filing year
2023
Submitted
09FEB24:20:50:00

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.