BEAVER DAM, WI —
OSHA Injury Report: BEAVER DAM EmpWorkCtrCd 30001938
Injury · Job transfer or restriction
At a glance
On , an injury at BEAVER DAM EmpWorkCtrCd 30001938 in BEAVER DAM, WI 34203 resulted in job transfer or restriction. Employee was rSR LEAD SMALL FORMAT PFP in confectionery Merchant Wholesalers.
Where did this happen?
- Establishment
- BEAVER DAM EmpWorkCtrCd 30001938
- Parent company
- ROLLING FRITO LAY SALES
- Street
- 103 MYRTLE ROAD
- City
- BEAVER DAM
- State
- WI
- ZIP
- 34203
- On-site location
- Premise Front Outside
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 90
Before the incident
EE was walking into truck on dock plate when he slipped and fell
What happened
EE was walking across dock plate when he tripped and fell into truck and onto his handcart
Injury or illness
Fracture
Object or substance involved
Hand cart
Summary line
EE was walking across dock plate when he tripped and fell into truck and onto his handcart
Employee and industry
- Job description
- RSR LEAD SMALL FORMAT PFP
- SOC code
- 9999 — Uncoded
- NAICS code
- 424450 — Confectionery Merchant Wholesalers
- NAICS vintage
- 2022
- Avg employees
- 10
- Total hours worked
- 24014
- EIN
- 752908364
- Establishment ID
- 1377259
- Employer case #
- 4A2404Y3C9
When (timing detail)
- Date of incident
- Shift started
- 0:00
- Time of incident
- 12:30
- Filing year
- 2024
- Submitted
- 03MAR2025:14:29:00
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.