Safety Incidents OSHA Severe Injury Reports · 2015–2025
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OSHA Injury Report: Warehouse Distribution Center

Other illness · Other recordable case

On , an other illness at Warehouse Distribution Center in 100 Kent Road, Poynette, WI 53955 resulted in other recordable case. Employee was forklift Driver in private warehousing and storage, general merchandise.

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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
Employees at this establishment (2023 average)
60
Hours worked at this establishment (2023 total)
112,987
Establishment ID
430098
Employer case #
1
Date of incident
Time of incident
Not known — the employer filed this case without a time of day.
Filing year
2023
Submitted to OSHA
2024-01-10

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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