FORT WAYNE, IN —
OSHA Injury Report: "FORT WAYNE WEST IN - 3166"
Injury · Other recordable case
At a glance
On , an injury at "FORT WAYNE WEST IN - 3166" in "6310 ILLINOIS ROAD", FORT WAYNE, IN 46804 resulted in other recordable case. Employee was rECEIVER in "Home Centers".
Where did this happen?
- Establishment
- "FORT WAYNE WEST IN - 3166"
- Parent company
- "Menards"
- Street
- "6310 ILLINOIS ROAD"
- City
- FORT WAYNE
- State
- IN
- ZIP
- 46804
- On-site location
- "STORE"
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
STOCKING COUNTER TOPS
What happened
LOST GRIP OF COUNTER TIPPED BACK BUMPED HEAD
Injury or illness
CONTUSION HEAD
Object or substance involved
COUNTER TOP
Summary line
CONTUSION HEAD--STOCKING COUNTER TOPS
Employee and industry
- Job description
- RECEIVER
- SOC code
- 43-5071 — Shipping, Receiving, and Inventory Clerks
- NAICS code
- 444110 — "Home Centers"
- NAICS vintage
- 2012
- Avg employees
- 173
- Total hours worked
- 248198
- EIN
- 390989248
- Establishment ID
- 1002182
- Employer case #
- 600017903
When (timing detail)
- Date of incident
- Shift started
- 13:58
- Time of incident
- 14:15
- Filing year
- 2025
- Submitted
- 16FEB26:20:47:00
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FORT WAYNE, IN—
"FORT WAYNE WEST IN - 3166"
FORT WAYNE, IN—
"FORT WAYNE WEST IN - 3166"
FORT WAYNE, IN—
"FORT WAYNE WEST IN - 3166"
View "FORT WAYNE WEST IN - 3166"'s full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.