Madison, WI —
OSHA Injury Report: 10776 Madison Segoe
Injury · Other recordable case
At a glance
On , an injury at 10776 Madison Segoe in Madison, WI 53705 resulted in other recordable case. Employee was s Prep Foods Service Team Member.
Where did this happen?
- Establishment
- 10776 Madison Segoe
- Street
- 4710 Madison Yards Way
- City
- Madison
- State
- WI
- ZIP
- 53705
- On-site location
- Prepared Foods Kitchen
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
[REDACTED] COOKING GREEN BEANS ON STOVE WALKING TO STOVE TO GET BEANS TRIPPED OVER FEET FELL TO HANDS AND KNEES PAIN IN BOTH KNEES
What happened
Slip Trip Fall Same Level
Injury or illness
Strain Sprain
Object or substance involved
Human Action
Summary line
tripped on her own boots and fell on knees.
Employee and industry
- Job description
- S Prep Foods Service Team Member
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110
- NAICS vintage
- 2022
- Avg employees
- 222
- Total hours worked
- 285808
- EIN
- 521711175
- Establishment ID
- 1181052
- Employer case #
- 0005772101
When (timing detail)
- Date of incident
- Shift started
- 7:29:00.000
- Time of incident
- 11:30:00.000
- Submitted
- 28FEB24:22:31:00
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.