Fort Wayne, IN —
OSHA Injury Report: 138 - Maysville Rd Ft Wayne
Injury · Days away from work
At a glance
On , an injury at 138 - Maysville Rd Ft Wayne in Fort Wayne, IN 468E6 resulted in days away from work. Employee was gM Stocking Clerk.
Where did this happen?
- Establishment
- 138 - Maysville Rd Ft Wayne
- Parent company
- Meijer
- Street
- 10301 SR 37 Hwy
- City
- Fort Wayne
- State
- IN
- ZIP
- 468E6
- On-site location
- Parking Lot
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 60
- Days restricted or transferred
- 79
Before the incident
None. TM was off the clock and heading home.
What happened
Trauma Shoulder(s) Water Ice: TM slipped on ice in the parking lot while walking to his car and it caused injury to left shoulder. TM hit his head.
Injury or illness
Trauma
Object or substance involved
None.
Summary line
Trauma Shoulder(s) Water Ice: Team member slipped on ice in the parking lot while walking to his car and it caused injury to left shoulder. Team member hit his head.
Employee and industry
- Job description
- GM Stocking Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 455211
- NAICS vintage
- 2022
- Avg employees
- 276
- Total hours worked
- 368506
- EIN
- 383496076
- Establishment ID
- 812764
- Employer case #
- WC20220270
When (timing detail)
- Date of incident
- Time of incident
- 5:34:00.000
- Submitted
- 29FEB24:19:13:00
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.