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 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 CE 0909
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Struck by Motor Vehicle
What happened
Left Foot Selector was in CE 0909 aisle was congested with selector PMHE traffic A selector was moving his PMHE to permit room so others can get by and backed into IW left foot with PMHE
Injury or illness
Cause Struck or Injured By Body Part Foot Body Part Position Left Detail Cause Struck by Motor Vehicle
Object or substance involved
PMHE Electric Pallet Jack
Summary line
Cause Struck or Injured By Body Part Foot Body Part Position Left Detail Cause Struck by Motor Vehicle
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
- 358
- Total hours worked
- 760330
- EIN
- 202120709
- Establishment ID
- 722589
- Employer case #
- 1201WC2403
When (timing detail)
- Date of incident
- Shift started
- 16:00:00.000
- Time of incident
- 0:36:00.000
- 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.