Jackson, MS —
OSHA Injury Report: Foodservice Jackson - 9002
Injury · Other recordable case
At a glance
On , an injury at Foodservice Jackson - 9002 in Jackson, MS 39209 resulted in other recordable case. Employee was driver Formula PFG.
Where did this happen?
- Establishment
- Foodservice Jackson - 9002
- Street
- 870 Boling Street
- City
- Jackson
- State
- MS
- ZIP
- 39209
- On-site location
- Sonic 3221 Back Entrance to Kitchen
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Fall Slip Same Level
What happened
EE states that he was walking into a store with a dolly for a delivery when he tripped and fell onto a bread crate resulting in pain to his left shoulder
Injury or illness
Cause Fall Slip or Trip Injury Body Part Shoulder s Body Part Position Left Detail Cause Fall Slip Same Level
Object or substance involved
Foreign Body Object
Summary line
Cause Fall Slip or Trip Injury Body Part Shoulder s Body Part Position Left Detail Cause Fall Slip Same Level
Employee and industry
- Job description
- Driver Formula PFG
- SOC code
- 53-3032 — Heavy and Tractor-Trailer Truck Drivers
- NAICS code
- 424410
- NAICS vintage
- 2022
- Avg employees
- 316
- Total hours worked
- 652795
- EIN
- 640202800
- Establishment ID
- 1013949
- Employer case #
- 1201WC2303
When (timing detail)
- Date of incident
- Shift started
- 5:51:00.000
- Time of incident
- 9:30:00.000
- Submitted
- 06MAR24:17:47:00
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.