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 forklift Operator Formula.
Where did this happen?
- Establishment
- Foodservice Jackson - 9002
- Street
- 870 Boling Street
- City
- Jackson
- State
- MS
- ZIP
- 39209
- On-site location
- Foodservice Jackson 9002 Steps leading to Man Door on Cooler Dock
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Fall Slip Different Level
What happened
EE states he was walking down steps when he lost consciousness for a minute or so and fell down about six steps hitting the head right side
Injury or illness
Cause Fall Slip or Trip Injury Body Part Skull Body Part Position Detail Cause Fall Slip Different Level
Object or substance involved
Steps Other than vehicle or trailor
Summary line
Cause Fall Slip or Trip Injury Body Part Skull Body Part Position Detail Cause Fall Slip Different Level
Employee and industry
- Job description
- Forklift Operator Formula
- SOC code
- 53-7051 — Industrial Truck and Tractor Operators
- NAICS code
- 424410
- NAICS vintage
- 2022
- Avg employees
- 316
- Total hours worked
- 652795
- EIN
- 640202800
- Establishment ID
- 1013949
- Employer case #
- 1201WC2403
When (timing detail)
- Date of incident
- Shift started
- 15:30:00.000
- Time of incident
- 18:15:00.000
- 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.