PLEASANT PRAIRIE, WI ·
OSHA Injury Report: LAKEVIEW WI PLEASANT PRAIRIE
Injury · Other recordable case
At a glance
On , an injury at LAKEVIEW WI PLEASANT PRAIRIE in 8500 100TH STREET, PLEASANT PRAIRIE, WI 53158 resulted in other recordable case. Employee was SC OPS assoc supervi in other Grocery and Related Products Merchant Wholesalers.
Where did this happen?
- Establishment
- LAKEVIEW WI PLEASANT PRAIRIE
- Parent company
- PEPSICO BEV SALES
- Street
- 8500 100TH STREET
- City
- PLEASANT PRAIRIE
- State
- WI
- ZIP
- 53158
- On-site location
- AISLE
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WORKING
What happened
EE WAS IN THE PROCESS OF DOING INVENTORY COUNTS AND WAS TRYING TO SEE THE WRITING IN ONE OF THE PALLETS THERE WAS A GLARE FROM THE LIGHTING EE STARTED TO BACK UP TO ADJUST HIS VISION TO READ THE WRITING ON THE PALLET EE WALKED BACKWARDS INTO
Injury or illness
FALL ON THE SAME LEVEL FRACTURE
Object or substance involved
OTHER
Summary line
FRACTURE LEFT [REDACTED]
Employee and industry
- Job description
- SC OPS ASSOC SUPERVI
- SOC code
- 00-9900: Insufficient Information - NIOSH
- NAICS code
- 424490: Other Grocery and Related Products Merchant Wholesalers
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 144
- Hours worked at this establishment (2025 total)
- 308,653
- EIN
- 411986382
- Establishment ID
- 1367968
- Employer case #
- WC50979ZS
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
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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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