Shawano, WI —
OSHA Injury Report: Foodservice Shawano - 0564
Injury · Days away from work
At a glance
On , an injury at Foodservice Shawano - 0564 in Shawano, WI 54166 resulted in days away from work. 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
- Villa Maria 07026 Service Entrance
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 22
Before the incident
Strike Step On Fixed Object
What happened
Right Knee Driver was stepping out of tractor as a co driver Had three points of contact but right foot slipped on the step causing him to loose balance and fall His right knee hit the step
Injury or illness
Cause Striking Against or Stepping on Body Part Knee Body Part Position Right Detail Cause Strike Step On Fixed Object
Object or substance involved
Tractor
Summary line
Cause Striking Against or Stepping on Body Part Knee Body Part Position Right Detail Cause Strike Step On Fixed Object
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
- 4:00:00.000
- 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.