West Bend, WI ·
OSHA Injury Report: 1 - Rolfs
Injury · Other recordable case
At a glance
On , an injury at 1 - Rolfs in 600 Rolfs Avenue, West Bend, WI 53093 resulted in other recordable case. Employee was van Driver in vocational rehabilitation or habilitation services (e.g., job counseling, job training, work experience).
Where did this happen?
- Establishment
- 1 - Rolfs
- Parent company
- The Threshold Inc.
- Street
- 600 Rolfs Avenue
- City
- West Bend
- State
- WI
- ZIP
- 53093
- On-site location
- Rolfs van parking lot
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee was walking to agency van that he would be driving.
What happened
There was black ice on the pavement causing the employee to slip and fall.
Injury or illness
Bruised tailbone.
Object or substance involved
Driveway pavement.
Summary line
Bruised tailbone
Employee and industry
- Job description
- Van Driver
- SOC code
- 53-3053: Shuttle Drivers and Chauffeurs
- NAICS code
- 624310: Vocational rehabilitation or habilitation services (e.g., job counseling, job training, work experience)
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 58
- Hours worked at this establishment (2023 total)
- 72,826
- EIN
- 391102430
- Establishment ID
- 89888
- Employer case #
- 202301
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 06:52
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-01
More injuries at 1 - Rolfs
View 1 - Rolfs'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, so no per-record IMIS deep link exists.
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