Shawano, WI —
OSHA Injury Report: Foodservice Shawano - 0564
Injury · Other recordable case
At a glance
On , an injury at Foodservice Shawano - 0564 in Shawano, WI 54166 resulted in other recordable case. Employee was driver Formula PFG.
Where did this happen?
- Establishment
- Foodservice Shawano - 0564
- Street
- 1260 County Road B
- City
- Shawano
- State
- WI
- ZIP
- 54166
- On-site location
- Nu Roc 99041 Inside Trailer
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Strain Injury by Lifting
What happened
Back Driver had down stacked product off of a pallet As he went to lift a case of bananas he felt a sharp lateral pain under his left shoulder blade
Injury or illness
Cause Strain or Injury By Body Part Upper Back Area Thoracic Body Part Position Detail Cause Strain Injury by Lifting
Object or substance involved
Product Freight 0 40 lbs
Summary line
Cause Strain or Injury By Body Part Upper Back Area Thoracic Body Part Position Detail Cause Strain Injury by Lifting
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
- 358
- Total hours worked
- 760330
- EIN
- 202120709
- Establishment ID
- 722589
- Employer case #
- 1201WC2403
When (timing detail)
- Date of incident
- Shift started
- 0:30:00.000
- Time of incident
- 6:00:00.000
- Submitted
- 06MAR24:18:38:00
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.