Mishawaka, IN —
OSHA Injury Report: 121 - Grape Rd Mishawaka
Injury · Job transfer or restriction
At a glance
On , an injury at 121 - Grape Rd Mishawaka in 5020 Grape Rd, Mishawaka, IN 465E6 resulted in job transfer or restriction. Employee was food Night Clerk.
Where did this happen?
- Establishment
- 121 - Grape Rd Mishawaka
- Parent company
- Meijer
- Street
- 5020 Grape Rd
- City
- Mishawaka
- State
- IN
- ZIP
- 465E6
- On-site location
- Bakery Prep
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 5
Before the incident
Preparing donuts.
What happened
Abrasion Nose Fixtures: While TM was performing her daily functions of getting donuts prepared. She had grabbed a rack the wheel got caught and before she could grab it titled and hit the TM in the face. She had a cut above her nose.
Injury or illness
Abrasion
Object or substance involved
Just the rack.
Summary line
Abrasion Nose Fixtures: While team member was performing her daily functions of getting donuts prepared. She had grabbed a rack the wheel got caught and before she could grab it titled and hit the team member in the face. She had a cut above her nose.
Employee and industry
- Job description
- Food Night Clerk
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211
- NAICS vintage
- 2022
- Avg employees
- 225
- Total hours worked
- 326929
- EIN
- 383496076
- Establishment ID
- 812747
- Employer case #
- WC20230089
When (timing detail)
- Date of incident
- Time of incident
- 7:45:00.000
- Filing year
- 2023
- Submitted
- 29FEB24:19:13:00
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121 - Grape Rd Mishawaka
View 121 - Grape Rd Mishawaka's full OSHA safety record →
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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.