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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 4223-M1100

Injury · Other recordable case

On , an injury at 4223-M1100 in 3110 COUNTY ROAD C, PLYMOUTH, WI 53073 resulted in other recordable case. Employee was logistics Team Lead in all Other General Merchandise Stores.

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Establishment
4223-M1100
Street
3110 COUNTY ROAD C
City
PLYMOUTH
State
WI
ZIP
53073
On-site location
Yard
Outcome
Other recordable case (code 4)
Type
Injury (code 1)

He was riding on a forklift

started to feel pulling on his left hip resulting in pain

Hip pain

Operating a forklift

Riding forklift when felt pulling on left hip resulting in pain.

Job description
Logistics Team Lead
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 #
260671
Date of incident
Shift started
4:35:00.000
Filing year
2023
Submitted
28FEB24:14:37:00

View 4223-M1100's full OSHA safety record →

WM 5373

WM 3497

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.