Shawano, WI ·
OSHA Injury Report: Foodservice Shawano - 0564
Injury · Days away from work
At a glance
On , an injury at Foodservice Shawano - 0564 in 1260 County Road B, Shawano, WI 54166 resulted in days away from work. Employee was selector Non Formula.
Where did this happen?
- Establishment
- Foodservice Shawano - 0564
- Street
- 1260 County Road B
- City
- Shawano
- State
- WI
- ZIP
- 54166
- On-site location
- Foodservice Shawano 0564 CL 3309
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
Fall Slip Same Level
What happened
Left Knee Selector was stepping over forks of forklift and tripped falling Caused left to pop and he could not get up afterwards
Injury or illness
Cause Fall Slip or Trip Injury Body Part Knee Body Part Position Left Detail Cause Fall Slip Same Level
Object or substance involved
PMHE Electric Pallet Jack
Summary line
Cause Fall Slip or Trip Injury Body Part Knee Body Part Position Left Detail Cause Fall Slip Same Level
Employee and industry
- Job description
- Selector Non Formula
- SOC code
- 51-9061: Inspectors, Testers, Sorters, Samplers, and Weighers
- NAICS code
- 424420
- NAICS vintage
- 2012
- Employees at this establishment (2025 average)
- 361
- Hours worked at this establishment (2025 total)
- 750,149
- EIN
- 202120709
- Establishment ID
- 722589
- Employer case #
- 1201WC250
When (timing detail)
- Date of incident
- Shift started
- 16:00
- Time of incident
- 22:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-25
More injuries at Foodservice Shawano - 0564
View Foodservice Shawano - 0564's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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