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 Cooler Dock
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Burn Exposure Cold
What happened
Eye selector was mishandling dry ice attempting to break off a chunk The CO2 mist and particles got into his eyes
Injury or illness
Cause Burn or Scald Heat or Cold Exposure Body Part Eye s Body Part Position Left Detail Cause Burn Exposure Cold
Object or substance involved
Chemical
Summary line
Cause Burn or Scald Heat or Cold Exposure Body Part Eye s Body Part Position Left Detail Cause Burn Exposure Cold
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
- 20:00:00.000
- 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.