Jackson, WI ·
OSHA Injury Report: Vistar Wisconsin - 4001
Injury · Job transfer or restriction
At a glance
On , an injury at Vistar Wisconsin - 4001 in N173 W21441 Northwest Passage, Jackson, WI 53037 resulted in job transfer or restriction. Employee was lead Shift.
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 In aisle D
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 114
Before the incident
Strain Injury by Twisting
What happened
Was picking an order while in the candy aisle picked a case a hurt his back
Injury or illness
Cause Strain or Injury By Body Part Low Back Area Body Part Position Detail Cause Strain Injury by Twisting
Object or substance involved
Order Picker
Summary line
Cause Strain or Injury By Body Part Low Back Area Body Part Position Detail Cause Strain Injury by Twisting
Employee and industry
- Job description
- Lead Shift
- 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 #
- 1201WC2503
When (timing detail)
- Date of incident
- Shift started
- 01:00
- Time of incident
- 19:00
- 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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