Kendallville, IN ·
OSHA Injury Report: National IN - 0801
Injury · Job transfer or restriction
At a glance
On , an injury at National IN - 0801 in 2930 Performance Dr, Kendallville, IN 46755 resulted in job transfer or restriction. 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
- Carrabbas Cooler
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 25
Before the incident
Misc Other
What happened
[REDACTED] was walking with a loaded cart when he took a turn to the right and he experienced disabling back pain An EMS was called by his partner and he was seen at the Beaumont Royal Oak Hospital in [REDACTED]
Injury or illness
Cause Miscellaneous Causes Body Part Low Back Area Body Part Position Detail Cause Misc Other
Object or substance involved
Cart Two wheel Hand Truck
Summary line
Cause Miscellaneous Causes Body Part Low Back Area Body Part Position Detail Cause Misc Other
Employee and industry
- Job description
- Driver Formula PFG
- SOC code
- 53-3032: Heavy and Tractor-Trailer Truck Drivers
- NAICS code
- 424410
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 162
- Hours worked at this establishment (2023 total)
- 338,850
- EIN
- 620458264
- Establishment ID
- 206061
- Employer case #
- 1201WC2403
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-06
More injuries at National in - 0801
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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