Plover, WI —
OSHA Injury Report: Monogram Appetizers, LLC - MR
Injury · Other recordable case
At a glance
On , an injury at Monogram Appetizers, LLC - MR in Plover, WI 54467 resulted in other recordable case. Employee was qA Tech in frozen side dishes manufacturing.
Where did this happen?
- Establishment
- Monogram Appetizers, LLC - MR
- Parent company
- Monogram Food Solutions, LLC
- Street
- 300 Moore Road
- City
- Plover
- State
- WI
- ZIP
- 54467
- On-site location
- Packaging by case check table
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
TM was clearing a tray of bad product when they slipped and fell hitting their left ankle.
What happened
Product on the floor causing a slip and fall when stepped on.
Injury or illness
Left ankle contusion
Object or substance involved
Floor
Summary line
Sprain Ankle Left Side Floor
Employee and industry
- Job description
- QA Tech
- SOC code
- 51-9061 — Inspectors, Testers, Sorters, Samplers, and Weighers
- NAICS code
- 311412 — Frozen side dishes manufacturing
- NAICS vintage
- 2022
- Avg employees
- 275
- Total hours worked
- 540760
- EIN
- 364813100
- Establishment ID
- 657825
- Employer case #
- 2023-138
When (timing detail)
- Date of incident
- Shift started
- 5:30:00.000
- Time of incident
- 11:30:00.000
- Submitted
- 31JAN24:02:21:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.