Fort Atkinson, WI —
OSHA Injury Report: 028-FF01-FORT ATKINSON
Injury · Other recordable case
At a glance
On , an injury at 028-FF01-FORT ATKINSON in Fort Atkinson, WI 53538 resulted in other recordable case. Employee was aSSISTANT MANAGER in rETAIL - GROCERY.
Where did this happen?
- Establishment
- 028-FF01-FORT ATKINSON
- Parent company
- Festival Foods
- Street
- 328 Washington Street
- City
- Fort Atkinson
- State
- WI
- ZIP
- 53538
- On-site location
- DELI KITCHEN
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WALKING BACK TO KITCHEN
What happened
EE STATES WALKING BACK TO KITCHEN WALKED OVER MAT WITH WATER UNDERNEATH SLIPPED FELL ON BOTH KNEES LOWER BACK CAUSING PAIN SWELL.
Injury or illness
Contusion bruise
Object or substance involved
MAT WATER ON FLOOR
Summary line
EE STATES WALKING BACK TO KITCHEN WALKED OVER MAT WITH WATER UNDERNEATH SLIPPED FELL ON BOTH KNEES LOWER BACK CAUSING PAIN SWELL.
Employee and industry
- Job description
- ASSISTANT MANAGER
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — RETAIL - GROCERY
- NAICS vintage
- 2022
- Avg employees
- 126
- Total hours worked
- 149596
- EIN
- 391086421
- Establishment ID
- 1171812
- Employer case #
- 010893-059
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 9:30:00.000
- Submitted
- 26FEB24:20:19:00
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.