Jackson, WI ·
OSHA Injury Report: Vistar Wisconsin - 4001
Injury · Job transfer or restriction
At a glance
On , an injury at Vistar Wisconsin - 4001 in N173 W21441 Northwest Passage, Jackson, WI 53037 resulted in job transfer or restriction. Employee was selector Formula.
Where did this happen?
- Establishment
- Vistar Wisconsin - 4001
- Street
- N173 W21441 Northwest Passage
- City
- Jackson
- State
- WI
- ZIP
- 53037
- On-site location
- Vistar Wisconsin 4001 Freezer doorway
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 9
Before the incident
Strain Injury by Repetitive Motion
What happened
[REDACTED] stated he had a sharp pain go down his back as he was leaving the freezer on the riding pallet [REDACTED]
Injury or illness
Cause Strain or Injury By Body Part Low Back Area Body Part Position Detail Cause Strain Injury by Repetitive Motion
Object or substance involved
Walking Working Surface Uneven Surface not ramp
Summary line
Cause Strain or Injury By Body Part Low Back Area Body Part Position Detail Cause Strain Injury by Repetitive Motion
Employee and industry
- Job description
- Selector Formula
- SOC code
- 51-9061: Inspectors, Testers, Sorters, Samplers, and Weighers
- NAICS code
- 424410
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 32
- Hours worked at this establishment (2023 total)
- 70,388
- EIN
- 840629503
- Establishment ID
- 722593
- Employer case #
- 1201WC2303
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 14:45
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-06
More injuries at Vistar Wisconsin - 4001
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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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