Fort Wayne, IN —
OSHA Injury Report: IN-FTWAY01 &03
Injury · Days away from work
At a glance
On , an injury at IN-FTWAY01 &03 in Fort Wayne, IN 46818 resulted in days away from work. Employee was uS Driver Sales Service Representative in supermarkets and Other Grocery Retailers except Convenience Retailers.
Where did this happen?
- Establishment
- IN-FTWAY01 &03
- Parent company
- Gordon Food Service Store LLC IN-FTWAY01 &03
- Street
- 5831 Cross Creek Blvd
- City
- Fort Wayne
- State
- IN
- ZIP
- 46818
- On-site location
- delivery location
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 36
- Days restricted or transferred
- 5
Before the incident
delivering
What happened
EE states he was performing a delivery at a location when EE slipped off of the ramp and fell landing on his right wrist. EE states he also hit his nose face but did not lose consciousness.
Injury or illness
Contusion bruise
Object or substance involved
ramp and ground
Summary line
EE states he was performing a delivery at a location when EE slipped off of the ramp and fell landing on his right wrist. EE states he also hit his nose face but did not lose consciousness.
Employee and industry
- Job description
- US Driver Sales Service Representative
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 445110 — Supermarkets and Other Grocery Retailers except Convenience Retailers
- NAICS vintage
- 2022
- Avg employees
- 85
- Total hours worked
- 73684
- EIN
- 161675916
- Establishment ID
- 1501154
- Employer case #
- 31315
When (timing detail)
- Date of incident
- Shift started
- 0:00
- Time of incident
- 7:45
- Filing year
- 2025
- Submitted
- 01MAR26:19:29:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.