Kendallville, IN —
OSHA Injury Report: National IN - 0801
Injury · Days away from work
At a glance
On , an injury at National IN - 0801 in Kendallville, IN 46755 resulted in days away from work. Employee was driver Formula PFG.
Where did this happen?
- Establishment
- National IN - 0801
- Street
- 2930 Performance Dr
- City
- Kendallville
- State
- IN
- ZIP
- 46755
- On-site location
- Ruby Tuesdays Parking Lot
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 9
Before the incident
Fall Slip On Ice or Snow
What happened
EE was unloading product and stepped on ice and fell EE struck the back of their head and was taken by EMS to the hospital for treatment
Injury or illness
Cause Fall Slip or Trip Injury Body Part Multiple Head Injury Body Part Position Detail Cause Fall Slip On Ice or Snow
Object or substance involved
Walking Working Surface Uneven Surface not ramp
Summary line
Cause Fall Slip or Trip Injury Body Part Multiple Head Injury Body Part Position Detail Cause Fall Slip On Ice or Snow
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
- 162
- Total hours worked
- 338850
- EIN
- 620458264
- Establishment ID
- 206061
- Employer case #
- 1201WC2303
When (timing detail)
- Date of incident
- Shift started
- 0:00:00.000
- Time of incident
- 12:25:00.000
- Submitted
- 06MAR24:20:27:00
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.