BEAVER DAM, WI ·
OSHA Injury Report: BEAVER DAM EmpWorkCtrCd 30001938
Injury · Days away from work
At a glance
On , an injury at BEAVER DAM EmpWorkCtrCd 30001938 in 103 MYRTLE ROAD, BEAVER DAM, WI 34203 resulted in days away from work. Employee was RSR colead 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
- Customer Location Parking Lot
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
Before the incident
unloaded truck
What happened
Injured back and right elbow due to falling at account after not seeing a pothole
Injury or illness
StrainSprain
Object or substance involved
Hand cart
Summary line
Injured back and right elbow due to falling at account after not seeing a pothole
Employee and industry
- Job description
- RSR COLEAD SMALL FORMAT PFP
- SOC code
- 9999: Uncoded
- NAICS code
- 424450: Confectionery Merchant Wholesalers
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 10
- Hours worked at this establishment (2024 total)
- 24,014
- EIN
- 752908364
- Establishment ID
- 1377259
- Employer case #
- 4A2405KP50
When (timing detail)
- Date of incident
- Shift started
- 00:00
- Time of incident
- 09:50
- Filing year
- 2024
- Submitted to OSHA
- 2025-03-03
More injuries at Beaver DAM EmpWorkCtrCd 30001938
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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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