FORT WAYNE, IN —
OSHA Injury Report: FORT WAYNE, IN BRANCH
Injury · Job transfer or restriction
At a glance
On , an injury at FORT WAYNE, IN BRANCH in 2424 WAYNE HAVEN ST, FORT WAYNE, IN 46803 resulted in job transfer or restriction. Employee was service Route Driver in vending Machine Operators.
Where did this happen?
- Establishment
- FORT WAYNE, IN BRANCH
- Parent company
- AVI Foodsystems Inc.
- Street
- 2424 WAYNE HAVEN ST
- City
- FORT WAYNE
- State
- IN
- ZIP
- 46803
- On-site location
- MANUFACTURED HOUSING ENTERPRISES - MAIN BREAKROOM
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 60
Before the incident
Unlocking Machines
What happened
Team member reported that she was in the main breakroom unlocking vending machines and when she turned around to unlock another machine she tripped and fell over a piece of discarded linoleum that was left on the floor.
Injury or illness
Contusion - Elbow Laceration - Puncture - Face
Object or substance involved
Obstruction - Obstacle
Summary line
Contusion - Elbow Laceration - Puncture - Face - Obstruction - Obstacle
Employee and industry
- Job description
- Service Route Driver
- SOC code
- 53-3031 — Driver/Sales Workers
- NAICS code
- 722310 — Vending Machine Operators
- NAICS vintage
- 2022
- Avg employees
- 79
- Total hours worked
- 133803
- EIN
- 340939177
- Establishment ID
- 255676
- Employer case #
- 4
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 8:15:00.000
- Filing year
- 2023
- Submitted
- 28FEB24:00:47:00
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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 — no per-record IMIS deep link exists.