Salem, WI —
OSHA Injury Report: 035-FF01-LAKESIDE FOODS
Injury · Other recordable case
At a glance
On , an injury at 035-FF01-LAKESIDE FOODS in Salem, WI 53618 resulted in other recordable case. Employee was dELI CLERK in rETAIL - GROCERY.
Where did this happen?
- Establishment
- 035-FF01-LAKESIDE FOODS
- Parent company
- Festival Foods
- Street
- 25300 75Th St
- City
- Salem
- State
- WI
- ZIP
- 53618
- On-site location
- DELI KITCHEN
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
GOING TO KITCHEN
What happened
EE STATES GOING TO KITCHEN SLIPPED ON GREASY FLOOR FELL HIT HISHEAD ON THE COUNTER CAUSING LUMP ON R SIDE OF BACK OF HIS HEAD.
Injury or illness
Contusion bruise
Object or substance involved
GREASY FLOOR
Summary line
EE STATES GOING TO KITCHEN SLIPPED ON GREASY FLOOR FELL HIT HISHEAD ON THE COUNTER CAUSING LUMP ON R SIDE OF BACK OF HIS HEAD.
Employee and industry
- Job description
- DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — RETAIL - GROCERY
- NAICS vintage
- 2022
- Avg employees
- 86
- Total hours worked
- 111618
- EIN
- 391086421
- Establishment ID
- 1170496
- Employer case #
- 010893-059
When (timing detail)
- Date of incident
- Shift started
- 14:17:00.000
- Time of incident
- 16:15:00.000
- Submitted
- 26FEB24:19:54:00
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.