FT WAYNE, IN ·
OSHA Injury Report: FT WAYNE IN
Injury · Other recordable case
At a glance
On , an injury at FT WAYNE IN in 4433 GULFSTREAM DR, FT WAYNE, IN 46809 resulted in other recordable case. Employee was presell representati in other Grocery and Related Products Merchant Wholesalers.
Where did this happen?
- Establishment
- FT WAYNE IN
- Parent company
- BOTTLING GROUP LLC
- Street
- 4433 GULFSTREAM DR
- City
- FT WAYNE
- State
- IN
- ZIP
- 46809
- On-site location
- AISLE
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WORKING
What happened
EE WAS PUSHING A U BOAT IN A STORE AND IT ROCKED BACK AND HIT EE S FRONT TOOTH CAUSING IT TO CHIP IN HALF EE DOES PLAN ON SEEKING MEDICAL TREATMENT ON [REDACTED] [REDACTED] EE MAY HAVE TO MISS TIME FROM WORK BUT IS NOT SURE YET
Injury or illness
STRUCK BY HAND TOOL OR MACHINE IN USE CHIPPED BROKEN TOOTH
Object or substance involved
OTHER
Summary line
CHIPPED BROKEN T TEETH N A
Employee and industry
- Job description
- PRESELL REPRESENTATI
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 424490: Other Grocery and Related Products Merchant Wholesalers
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 187
- Hours worked at this establishment (2024 total)
- 400,814
- EIN
- 411986382
- Establishment ID
- 1367920
- Employer case #
- WC406WW9VV
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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