Jackson, WI ·
OSHA Injury Report: Vistar Wisconsin - 4001
Injury · Days away from work
At a glance
On , an injury at Vistar Wisconsin - 4001 in N173 W21441 Northwest Passage, Jackson, WI 53037 resulted in days away from work. 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 north part of warehouse in aisle
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 28
Before the incident
Strain Injury by Lifting
What happened
employee was putting product away in the slot and heard and felt a pop in his elbow
Injury or illness
Cause Strain or Injury By Body Part Elbow Body Part Position Right Detail Cause Strain Injury by Lifting
Object or substance involved
Product Freight 0 40 lbs
Summary line
Cause Strain or Injury By Body Part Elbow Body Part Position Right Detail Cause Strain Injury by Lifting
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 #
- 1201WC2403
When (timing detail)
- Date of incident
- Shift started
- 04:00
- Time of incident
- 12:10
- 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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