FT WAYNE, IN ·
OSHA Injury Report: FT WAYNE IN
Injury · Other recordable case
At a glance
On , an injury at FT WAYNE IN in 4433 GULFSTREAM DR, FT WAYNE, IN 46809 resulted in other recordable case. Employee was territory sales REP in other Grocery and Related Products Merchant Wholesalers.
Where did this happen?
- Establishment
- FT WAYNE IN
- Parent company
- PEPSICO BEV SALES
- Street
- 4433 GULFSTREAM DR
- City
- FT WAYNE
- State
- IN
- ZIP
- 46809
- On-site location
- PARKING LOT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WORKING
What happened
INCIDENT DETAILS [REDACTED] 820AMEE STATES THAT WHEN HE STEP OUT OF CAR AT HIS STOP HE FELL ON ICE AND INJURED TAIL BONE LOWER BACK AND LEFT ELBOW SEVERE BRUISING AND PAIN IN THESE AREAS NO TIME MISSEDNO MEDICAL ATTENTION SEEK
Injury or illness
FALL SLIP ON ICE OR SNOW CONTUSION BRUISE SKIN SURFACE
Object or substance involved
3RD PARTY VEH
Summary line
CONTUSION BRUISE BOTH [REDACTED] 3RD PARTY VEH
Employee and industry
- Job description
- TERRITORY SALES REP
- SOC code
- 41-4010: Sales Representatives, Wholesale and Manufacturing
- NAICS code
- 424490: Other Grocery and Related Products Merchant Wholesalers
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 166
- Hours worked at this establishment (2025 total)
- 355,601
- EIN
- 411986382
- Establishment ID
- 1367920
- Employer case #
- WC5119B41
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-26
More injuries at FT Wayne in
View FT Wayne in's full OSHA safety record →
More injuries in this industry (NAICS 424490)
More injuries in IN
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.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.