Shawano, WI ·
OSHA Injury Report: Foodservice Shawano - 0564
Other illness · Days away from work
At a glance
On , an other illness at Foodservice Shawano - 0564 in 1260 County Road B, Shawano, WI 54166 resulted in days away from work. Employee was driver Formula PFG.
Where did this happen?
- Establishment
- Foodservice Shawano - 0564
- Street
- 1260 County Road B
- City
- Shawano
- State
- WI
- ZIP
- 54166
- On-site location
- Unknown Unknown
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Other illness (code 6)
- Days away from work
- 58
Before the incident
Misc Other
What happened
Back Unknown event IW claims it happened [REDACTED] unknown time place
Injury or illness
Cause Miscellaneous Causes Body Part Low Back Area Body Part Position Detail Cause Misc Other
Object or substance involved
Product Freight 0 40 lbs
Summary line
Cause Miscellaneous Causes Body Part Low Back Area Body Part Position Detail Cause Misc Other
Employee and industry
- Job description
- Driver Formula PFG
- SOC code
- 53-3031: Driver/Sales Workers
- 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 #
- 1201WC260
When (timing detail)
- Date of incident
- Shift started
- 00:00
- Time of incident
- 00:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-25
More injuries at Foodservice Shawano - 0564
View Foodservice Shawano - 0564's full OSHA safety record →
More injuries in this industry (NAICS 424420)
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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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