Safety Incidents OSHA Severe Injury Reports · 2015–2025
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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 driver Formula PFG.

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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
Employees at this establishment (2023 average)
358
Hours worked at this establishment (2023 total)
760,330
EIN
202120709
Establishment ID
722589
Employer case #
1201WC2403

When (timing detail)

Date of incident
Shift started
00:30
Time of incident
06:00
Filing year
2023
Submitted to OSHA
2024-03-06

More injuries at Foodservice Shawano - 0564

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View Foodservice Shawano - 0564's full OSHA safety record →

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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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