Black Creek, WI —
OSHA Injury Report: Black Creek
Injury · Days away from work
At a glance
On , an injury at Black Creek in Black Creek, WI 54106 resulted in days away from work. Employee was operator Production in cheese, natural (except cottage cheese), manufacturing.
Where did this happen?
- Establishment
- Black Creek
- Parent company
- Saputo USA, LLC Black Creek
- Street
- 307 N. Clark St
- City
- Black Creek
- State
- WI
- ZIP
- 54106
- On-site location
- Black Creek
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 6
- Days restricted or transferred
- 15
Before the incident
EE was struck by forklift while sorting liners. EE used his arms to push off of the forklift. EE experiencing pain in elbow and shoulder
What happened
EE was struck by forklift while sorting liners. EE used his arms to push off of the forklift. EE experiencing pain in elbow and shoulder
Injury or illness
EE was struck by forklift while sorting liners. EE used his arms to push off of the forklift. EE experiencing pain in elbow and shoulder
Object or substance involved
EE was struck by forklift while sorting liners. EE used his arms to push off of the forklift. EE experiencing pain in elbow and shoulder. Employee walking behind a forklift and no communication for vision.
Summary line
Contusion Elbow Left. Struck by motor vehicle.
Employee and industry
- Job description
- Operator Production
- SOC code
- 9999 — Uncoded
- NAICS code
- 311513 — Cheese, natural (except cottage cheese), manufacturing
- NAICS vintage
- 2022
- Avg employees
- 101
- Total hours worked
- 189896
- EIN
- 391629977
- Establishment ID
- 1103378
- Employer case #
- INJ-000207
When (timing detail)
- Date of incident
- Shift started
- 14:00:00.000
- Submitted
- 05FEB24:15:05:00
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.