Fort Atkinson, WI —
OSHA Injury Report: 028-FF28-Fort Atkinson
Injury · Other recordable case
At a glance
On , an injury at 028-FF28-Fort Atkinson in Fort Atkinson, WI 53538 resulted in other recordable case. Employee was sUPERVISOR in rETAIL - GROCERY.
Where did this happen?
- Establishment
- 028-FF28-Fort Atkinson
- Parent company
- Festival Foods
- Street
- 328 Washington Street
- City
- Fort Atkinson
- State
- WI
- ZIP
- 53538
- On-site location
- AISLE 7
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
STACKING PRODUCTS ON FORKLIFT
What happened
EE STATES STACKING PRODUCTS ON FORKLIFT GOING UP CEILING FAN HIT EE FOREHEAD CAUSING BLEEDING.
Injury or illness
Laceration open wound
Object or substance involved
CEILING FAN
Summary line
EE STATES STACKING PRODUCTS ON FORKLIFT GOING UP CEILING FAN HIT EE FOREHEAD CAUSING BLEEDING.
Employee and industry
- Job description
- SUPERVISOR
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — RETAIL - GROCERY
- NAICS vintage
- 2022
- Avg employees
- 120
- Total hours worked
- 147828
- EIN
- 391086421
- Establishment ID
- 1259222
- Employer case #
- 010893-059
When (timing detail)
- Date of incident
- Shift started
- 21:00
- Time of incident
- 2:45
- Filing year
- 2024
- Submitted
- 17JAN2025:20:28:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.