Shawano, WI —
OSHA Injury Report: Foodservice Shawano - 0564
Injury · Days away from work
At a glance
On , an injury at Foodservice Shawano - 0564 in Shawano, WI 54166 resulted in days away from work. Employee was driver Helper Formula.
Where did this happen?
- Establishment
- Foodservice Shawano - 0564
- Street
- 1260 County Road B
- City
- Shawano
- State
- WI
- ZIP
- 54166
- On-site location
- Sentry World 03388 Inside trailer
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 42
Before the incident
Strain Injury by Lifting
What happened
Back Driver was reaching across pallet to back corner low reach to get case syrup 40 and he felt pain in lower lumbar spine
Injury or illness
Cause Strain or Injury By Body Part Lumbar and or Sacral Vertebrae Body Part Position Detail Cause Strain Injury by Lifting
Object or substance involved
Product Freight 0 40 lbs
Summary line
Cause Strain or Injury By Body Part Lumbar and or Sacral Vertebrae Body Part Position Detail Cause Strain Injury by Lifting
Employee and industry
- Job description
- Driver Helper Formula
- SOC code
- 9999 — Uncoded
- NAICS code
- 424410
- NAICS vintage
- 2012
- Avg employees
- 359
- Total hours worked
- 746449
- EIN
- 202120709
- Establishment ID
- 722589
- Employer case #
- 1201WC2403
When (timing detail)
- Date of incident
- Shift started
- 4:00
- Time of incident
- 4:30
- Filing year
- 2024
- Submitted
- 28FEB2025:18:00:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.