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Safety Incidents OSHA Severe Injury Reports · 2015–2025

PLYMOUTH, WI —

OSHA Injury Report: 4223-M1100

Injury · Days away from work

At a glance

On , an injury at 4223-M1100 in 3110 COUNTY ROAD C, PLYMOUTH, WI 53073 resulted in days away from work. Employee was store Facilities Team Member in all Other General Merchandise Stores.

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Where did this happen?

Establishment
4223-M1100
Street
3110 COUNTY ROAD C
City
PLYMOUTH
State
WI
ZIP
53073
On-site location
Parking Lot

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
7

Before the incident

He was working outside retrieving shopping carts.

What happened

He slipped on ice falling and landing on his right knee.

Injury or illness

Abrasion of right knee

Object or substance involved

Ice and concrete

Summary line

Outside retrieving shopping carts slipped on ice and fell landing on right knee

Employee and industry

Job description
Store Facilities Team Member
SOC code
9999 — Uncoded
NAICS code
452319 — All Other General Merchandise Stores
NAICS vintage
2017
Avg employees
135
Total hours worked
149796
EIN
410806238
Establishment ID
446222
Employer case #
254071

When (timing detail)

Date of incident
Shift started
6:54:00.000
Time of incident
8:15:00.000
Filing year
2023
Submitted
27FEB24:21:13:00

More injuries at 4223-M1100

View 4223-M1100'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.