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 selector 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 Aisle 2
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Fall Slip On Ice or Snow
What happened
EE states that he was getting off pallet jack and when he got off he slipped on ice that was on the floor EE states that he then fell backwards EE states injury to left elbow
Injury or illness
Cause Fall Slip or Trip Injury Body Part Elbow Body Part Position Left Detail Cause Fall Slip On Ice or Snow
Object or substance involved
Walking Working Surface Uneven Surface not ramp
Summary line
Cause Fall Slip or Trip Injury Body Part Elbow Body Part Position Left Detail Cause Fall Slip On Ice or Snow
Employee and industry
- Job description
- Selector Formula
- SOC code
- 51-9061 — Inspectors, Testers, Sorters, Samplers, and Weighers
- 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
- 17:00:00.000
- Time of incident
- 23:50:00.000
- 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.