Montgomery, IL —
OSHA Injury Report: Foodservice Chicago - 0785
Injury · Job transfer or restriction
At a glance
On , an injury at Foodservice Chicago - 0785 in 5030 Baseline Rd, Montgomery, IL 60538 resulted in job transfer or restriction. Employee was driver Formula PFG.
Where did this happen?
- Establishment
- Foodservice Chicago - 0785
- Street
- 5030 Baseline Rd
- City
- Montgomery
- State
- IL
- ZIP
- 60538
- On-site location
- Golden Nest Pancake House Back of the Triler
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 5
Before the incident
Fall Slip Different Level
What happened
The driver stood on the back of the trailer near the edge facing the inside of the trailer He then decided to push the pallet forward As he started to move forward his right foot slipped on the edge lost his balance and fell off the trailer
Injury or illness
Cause Fall Slip or Trip Injury Body Part Other Facial Soft Tissue Body Part Position Detail Cause Fall Slip Different Level
Object or substance involved
Trailer Fall Out
Summary line
Cause Fall Slip or Trip Injury Body Part Other Facial Soft Tissue Body Part Position Detail Cause Fall Slip Different Level
Employee and industry
- Job description
- Driver Formula PFG
- SOC code
- 53-3032 — Heavy and Tractor-Trailer Truck Drivers
- NAICS code
- 424410
- NAICS vintage
- 2022
- Avg employees
- 449
- Total hours worked
- 1042264
- EIN
- 363176365
- Establishment ID
- 576373
- Employer case #
- 1201WC2403
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 9:30:00.000
- Filing year
- 2023
- Submitted
- 06MAR24:16:59:00
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View Foodservice Chicago - 0785'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.