FORT WAYNE, IN —
OSHA Injury Report: "FORT WAYNE WEST IN - 3166"
Injury · Other recordable case
At a glance
On , an injury at "FORT WAYNE WEST IN - 3166" in FORT WAYNE, IN 46804 resulted in other recordable case. Employee was cOURTESY PATROL in "Home Centers".
Where did this happen?
- Establishment
- "FORT WAYNE WEST IN - 3166"
- Parent company
- "Menards"
- Street
- "6310 ILLINOIS ROAD"
- City
- FORT WAYNE
- State
- IN
- ZIP
- 46804
- On-site location
- PARKING LOT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
PUSHING LINE OF CARTS
What happened
SLIPPED MOUTH BUMPED ON CART
Injury or illness
CHIPPED TOOTH
Object or substance involved
CART
Summary line
CHIPPED TOOTH--SLIPPED PUSHING CARTS
Employee and industry
- Job description
- COURTESY PATROL
- SOC code
- 9999 — Uncoded
- NAICS code
- 444110 — "Home Centers"
- NAICS vintage
- 2022
- Avg employees
- 201
- Total hours worked
- 280296
- EIN
- 390989248
- Establishment ID
- 1002182
- Employer case #
- 6000156552
When (timing detail)
- Date of incident
- Shift started
- 8:04:00.000
- Time of incident
- 10:45:00.000
- Submitted
- 26FEB24:18:26:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.