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Safety Incidents OSHA Severe Injury Reports · 2015–2025

WAUPACA, WI —

OSHA Injury Report: 4223-M1200

Injury · Other recordable case

At a glance

On , an injury at 4223-M1200 in 2016 FARM DRIVE, WAUPACA, WI 54981 resulted in other recordable case. Employee was logistics Team Member in all Other General Merchandise Stores.

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Where did this happen?

Establishment
4223-M1200
Street
2016 FARM DRIVE
City
WAUPACA
State
WI
ZIP
54981
On-site location
Stock room

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

He was loading cases of water onto lower shelves and then pulling a heavy pallet loaded with cases of water from the back room.

What happened

He woke up in the middle [REDACTED] and noticed a black bruise on the lower right left cage that was tender.

Injury or illness

Chest contusion

Object or substance involved

lifting pulling cases of water

Summary line

Loading cases of water pulling heavy pallet chest contusion

Employee and industry

Job description
Logistics Team Member
SOC code
9999 — Uncoded
NAICS code
452319 — All Other General Merchandise Stores
NAICS vintage
2017
Avg employees
152
Total hours worked
145240
EIN
410806238
Establishment ID
446223
Employer case #
257048

When (timing detail)

Date of incident
Shift started
6:56:00.000
Time of incident
10:00:00.000
Filing year
2023
Submitted
29FEB24:16:12:00

More injuries at 4223-M1200

View 4223-M1200'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.