Fort Wayne, IN ·
OSHA Injury Report: IN-FTWAY02
Injury · Other recordable case
At a glance
On , an injury at IN-FTWAY02 in 5507 Illinois Rd, Fort Wayne, IN 46804 resulted in other recordable case. Employee was US Driver Van Delivery Store in supermarkets and Other Grocery Retailers except Convenience Retailers.
Where did this happen?
- Establishment
- IN-FTWAY02
- Parent company
- Gordon Food Service Store LLC IN-FTWAY02
- Street
- 5507 Illinois Rd
- City
- Fort Wayne
- State
- IN
- ZIP
- 46804
- On-site location
- delivery location
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
employee was stocking customer walk in with cases of meat he felt a pop and injured his lower back.
What happened
EE states when he was stocking customer walk in with cases of meat he felt a pop and injured his lower back.
Injury or illness
Sprain Strain
Object or substance involved
cases of meat
Summary line
EE states when he was stocking customer walk in with cases of meat he felt a pop and injured his lower back. Supervisor is aware.
Employee and industry
- Job description
- US Driver Van Delivery Store
- SOC code
- 53-3033: Light Truck Drivers
- NAICS code
- 445110: Supermarkets and Other Grocery Retailers except Convenience Retailers
- NAICS vintage
- 2012
- Employees at this establishment (2025 average)
- 23
- Hours worked at this establishment (2025 total)
- 26,276
- EIN
- 161675916
- Establishment ID
- 1037619
- Employer case #
- 30669
When (timing detail)
- Date of incident
- Shift started
- 00:00
- Time of incident
- 13:40
- Filing year
- 2025
- Submitted to OSHA
- 2026-03-01
More injuries at In-Ftway02
View In-Ftway02's full OSHA safety record →
More injuries in this industry (NAICS 445110)
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.