SOUTH BEND, IN ·
OSHA Injury Report: SOUTH BEND IN
Injury · Job transfer or restriction
At a glance
On , an injury at SOUTH BEND IN in 5435 DYLAN DRIVE STE 100, SOUTH BEND, IN 46628 resulted in job transfer or restriction. Employee was warehouse person in other Grocery and Related Products Merchant Wholesalers.
Where did this happen?
- Establishment
- SOUTH BEND IN
- Parent company
- PEPSICO BEV SALES
- Street
- 5435 DYLAN DRIVE STE 100
- City
- SOUTH BEND
- State
- IN
- ZIP
- 46628
- On-site location
- PARKING LOT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 24
Before the incident
WORKING
What happened
EE WAS WALKING TO HIS CAR AT THE END OF HIS SHIFT AN HE SLIPPED ON THE ICE EE HURT HIS LEFT [REDACTED] BACK AND LEFT SIDE OF HEAD EE STATED IT SHOULD BE ON VIDEO NO TIME MISSED MAY SEEK [REDACTED] [REDACTED]
Injury or illness
FALL SLIP ON ICE OR SNOW INFLAMMATION
Object or substance involved
NOT CONTRIBUTOR
Summary line
INFLAMMATION BACK ALL OTHER NOT CONTRIBUTOR
Employee and industry
- Job description
- WAREHOUSE PERSON
- SOC code
- 53-7062: Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 424490: Other Grocery and Related Products Merchant Wholesalers
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 93
- Hours worked at this establishment (2025 total)
- 202,224
- EIN
- 411986382
- Establishment ID
- 1368054
- Employer case #
- WC512HF5F
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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