Jackson, WI ·
OSHA Injury Report: Vistar Wisconsin - 4001
Injury · Days away from work
At a glance
On , an injury at Vistar Wisconsin - 4001 in N173 W21441 Northwest Passage, Jackson, WI 53037 resulted in days away from work. Employee was driver Hourly.
Where did this happen?
- Establishment
- Vistar Wisconsin - 4001
- Street
- N173 W21441 Northwest Passage
- City
- Jackson
- State
- WI
- ZIP
- 53037
- On-site location
- Vistar Wisconsin 4001 Dock door 11 truck parking
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
Fall Slip Misc
What happened
Associate stated that he fell and hit his head
Injury or illness
Cause Fall Slip or Trip Injury Body Part Skull Body Part Position Detail Cause Fall Slip Misc
Object or substance involved
Walking Working Surface Uneven Surface not ramp
Summary line
Cause Fall Slip or Trip Injury Body Part Skull Body Part Position Detail Cause Fall Slip Misc
Employee and industry
- Job description
- Driver Hourly
- SOC code
- 9999: Uncoded
- NAICS code
- 424410
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 28
- Hours worked at this establishment (2024 total)
- 57,885
- EIN
- 840629503
- Establishment ID
- 722593
- Employer case #
- 1201WC2403
When (timing detail)
- Date of incident
- Shift started
- 03:00
- Time of incident
- 03:00
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at Vistar Wisconsin - 4001
View Vistar Wisconsin - 4001's full OSHA safety record →
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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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