South Bend, IN ·
OSHA Injury Report: South Bend Shop IN FXFE-SBNS
Injury · Other recordable case
At a glance
On , an injury at South Bend Shop IN FXFE-SBNS in 5150 Dylan Drive, South Bend, IN 46628 resulted in other recordable case. Employee was dockworker Parttime in less Than Truckload General Freight Trucking.
Where did this happen?
- Establishment
- South Bend Shop IN FXFE-SBNS
- Parent company
- FedEx Freight
- Street
- 5150 Dylan Drive
- City
- South Bend
- State
- IN
- ZIP
- 46628
- On-site location
- DK FedEx Dock
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Climbing
What happened
Employee building deck in trailer employee climbed on forklift forks building a deck and lost balance and fell onto his back. Employee reported and refused to fill out workman 's comp paperwork at time of incident employee stated multiple times he was fine throughout shift.
Injury or illness
BACK
Object or substance involved
Forklift
Summary line
Slip and Fall BACK
Employee and industry
- Job description
- Dockworker Parttime
- SOC code
- 53-7062: Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 484122: Less Than Truckload General Freight Trucking
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 7
- Hours worked at this establishment (2023 total)
- 13,390
- EIN
- 710562003
- Establishment ID
- 670656
- Employer case #
- EV20235252
When (timing detail)
- Date of incident
- Shift started
- 15:00
- Time of incident
- 15:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at South Bend Shop in Fxfe-Sbns
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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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