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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: Warehouse Distribution Center

Other illness · Other recordable case

On , an other illness at Warehouse Distribution Center in Poynette, WI 53955 resulted in other recordable case. Employee was forklift Driver in private warehousing and storage, general merchandise.

Establishment
Warehouse Distribution Center
Parent company
Lakeside Foods, Inc.
Street
100 Kent Road
City
Poynette
State
WI
ZIP
53955
On-site location
Labeling Line conveyor Line #8
Outcome
Other recordable case (code 4)
Type
Other illness (code 6)

Driving Forklift

Employee was clearing a jam on conveyor when he picked up a case of product and strained his right shoulder

Strain

lifting of product

Strain Right shoulder clearing a jam lifting cases

Job description
Forklift Driver
SOC code
53-7051 — Industrial Truck and Tractor Operators
NAICS code
493110 — Private warehousing and storage, general merchandise
NAICS vintage
2022
Avg employees
60
Total hours worked
112987
Establishment ID
430098
Employer case #
1
Date of incident
Shift started
5:30:00.000
Submitted
10JAN24:14:33:00

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.