Mishawaka, IN —
OSHA Injury Report: 10482 South Bend
Injury · Other recordable case
At a glance
On , an injury at 10482 South Bend in Mishawaka, IN 46545 resulted in other recordable case. Employee was s Cheese BuyerSpecialist.
Where did this happen?
- Establishment
- 10482 South Bend
- Street
- 4230 Grape Road
- City
- Mishawaka
- State
- IN
- ZIP
- 46545
- On-site location
- Specialty
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Stocking product.
What happened
Slip Trip Fall Floor Mat Inside or Outside
Injury or illness
Strain Sprain
Object or substance involved
Object on floor
Summary line
TM tripped on an antifatigue mat and rolled her right ankle and scraped her left wrist.
Employee and industry
- Job description
- S Cheese BuyerSpecialist
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110
- NAICS vintage
- 2022
- Avg employees
- 136
- Total hours worked
- 195578
- EIN
- 521711175
- Establishment ID
- 715518
- Employer case #
- 0005771989
When (timing detail)
- Date of incident
- Shift started
- 6:04:00.000
- Time of incident
- 8:15:00.000
- Submitted
- 28FEB24:22:30:00
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.