Shawano, WI ·
OSHA Injury Report: Foodservice Shawano - 0564
Injury · Other recordable case
At a glance
On , an injury at Foodservice Shawano - 0564 in 1260 County Road B, Shawano, WI 54166 resulted in other recordable case. Employee was selector Formula.
Where did this happen?
- Establishment
- Foodservice Shawano - 0564
- Street
- 1260 County Road B
- City
- Shawano
- State
- WI
- ZIP
- 54166
- On-site location
- Foodservice Shawano 0564 CC1608
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Strike Step On Fixed Object
What happened
Selector was in cooler [REDACTED] Produce lemons were all over the floor When my forklift lost traction over product on the floor and I lost control of lift and slide into racking my body made contact with the racking
Injury or illness
Cause Striking Against or Stepping on Body Part Shoulder s Body Part Position Left Detail Cause Strike Step On Fixed Object
Object or substance involved
Walking Working Surface Uneven Surface not ramp
Summary line
Cause Striking Against or Stepping on Body Part Shoulder s Body Part Position Left Detail Cause Strike Step On Fixed Object
Employee and industry
- Job description
- Selector Formula
- SOC code
- 51-9061: Inspectors, Testers, Sorters, Samplers, and Weighers
- NAICS code
- 424410
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 358
- Hours worked at this establishment (2023 total)
- 760,330
- EIN
- 202120709
- Establishment ID
- 722589
- Employer case #
- 1201WC2303
When (timing detail)
- Date of incident
- Shift started
- 16:00
- Time of incident
- 01:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-06
More injuries at Foodservice Shawano - 0564
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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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