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 order Checker.
Where did this happen?
- Establishment
- Foodservice Shawano - 0564
- Street
- 1260 County Road B
- City
- Shawano
- State
- WI
- ZIP
- 54166
- On-site location
- Unknown
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 80
- Days restricted or transferred
- 10
Before the incident
Fall Slip On Ice or Snow
What happened
EE states she was walking to her car when she slipped on ice and fell onto her left elbow EE strained her back in the fall as well EE is right hand dominant Supervisor is aware
Injury or illness
Cause Fall Slip or Trip Injury Body Part Body Part Position Detail Cause Fall Slip On Ice or Snow
Object or substance involved
Unknown
Summary line
Cause Fall Slip or Trip Injury Body Part Body Part Position Detail Cause Fall Slip On Ice or Snow
Employee and industry
- Job description
- Order Checker
- SOC code
- 43-4151 — Order Clerks
- 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
- 0:00:00.000
- Time of incident
- 1:45:00.000
- Submitted
- 06MAR24:18:43:00
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.