Fond Du Lac, WI ·
OSHA Injury Report: 014-FF01-FOND DU LAC
Injury · Other recordable case
At a glance
On , an injury at 014-FF01-FOND DU LAC in 1125 East Johnson Street, Fond Du Lac, WI 54935 resulted in other recordable case. Employee was frozen food AND dairy clerk in retail - grocery.
Where did this happen?
- Establishment
- 014-FF01-FOND DU LAC
- Parent company
- Festival Foods
- Street
- 1125 East Johnson Street
- City
- Fond Du Lac
- State
- WI
- ZIP
- 54935
- On-site location
- BREAK ROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
ON BREAK
What happened
ASSISTANT MANAGER REPORTS THE EE STATED HE SLIPPED IN THE BREAKROOM AND HIT HIS HEAD ON A BENCH AND BLACKED OUT.
Injury or illness
Contusion bruise
Object or substance involved
BENCH
Summary line
ASSISTANT MANAGER REPORTS THE EE STATED HE SLIPPED IN THE BREAKROOM AND HIT HIS HEAD ON A BENCH AND BLACKED OUT.
Employee and industry
- Job description
- FROZEN FOOD AND DAIRY CLERK
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 445110: RETAIL - GROCERY
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 217
- Hours worked at this establishment (2023 total)
- 243,794
- EIN
- 391086421
- Establishment ID
- 93722
- Employer case #
- 010893-059
When (timing detail)
- Date of incident
- Shift started
- 16:57
- Time of incident
- 19:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-26
More injuries at 014-Ff01-Fond DU LAC
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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