FORT WAYNE, IN —
OSHA Injury Report: "FORT WAYNE SOUTH IN - 3208"
Injury · Other recordable case
At a glance
On , an injury at "FORT WAYNE SOUTH IN - 3208" in FORT WAYNE, IN 46816 resulted in other recordable case. Employee was gENERAL MANAGER in "Home Centers".
Where did this happen?
- Establishment
- "FORT WAYNE SOUTH IN - 3208"
- Parent company
- "Menards"
- Street
- "7702 SOUTHTOWN CROSSING"
- City
- FORT WAYNE
- State
- IN
- ZIP
- 46816
- On-site location
- "PARKING LOT"
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
CLEANING THE PARKING LOT
What happened
HE SLIPPED AND FELL WHILE CLEANING THE PARKING LOT
Injury or illness
ROTATOR CUFF TEAR - LABRAL TEARING - BICEP TENDITITIS LEFT SHOULDER
Object or substance involved
SLIP-FALL-ICE
Summary line
MULTIPLE INJURIES LEFT SHOULDER SLIP-FALL-ICE
Employee and industry
- Job description
- GENERAL MANAGER
- SOC code
- 11-1021 — General and Operations Managers
- NAICS code
- 444110 — "Home Centers"
- NAICS vintage
- 2012
- Avg employees
- 133
- Total hours worked
- 192693
- EIN
- 390989248
- Establishment ID
- 1002180
- Employer case #
- 600018217
When (timing detail)
- Date of incident
- Shift started
- 5:24
- Time of incident
- 8:24
- Filing year
- 2025
- Submitted
- 16FEB26:20:47:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.