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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Shawano, WI —

OSHA Injury Report: Foodservice Shawano - 0564

Injury · Other recordable case

At a glance

On , an injury at Foodservice Shawano - 0564 in 1260 County Road B, Shawano, WI 54166 resulted in other recordable case. Employee was selector Formula.

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Where did this happen?

Establishment
Foodservice Shawano - 0564
Street
1260 County Road B
City
Shawano
State
WI
ZIP
54166
On-site location
Foodservice Shawano 0564 CC1608

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

Strike Step On Fixed Object

What happened

Selector was in cooler [REDACTED] Produce lemons were all over the floor When my forklift lost traction over product on the floor and I lost control of lift and slide into racking my body made contact with the racking

Injury or illness

Cause Striking Against or Stepping on Body Part Shoulder s Body Part Position Left Detail Cause Strike Step On Fixed Object

Object or substance involved

Walking Working Surface Uneven Surface not ramp

Summary line

Cause Striking Against or Stepping on Body Part Shoulder s Body Part Position Left Detail Cause Strike Step On Fixed Object

Employee and industry

Job description
Selector Formula
SOC code
51-9061 — Inspectors, Testers, Sorters, Samplers, and Weighers
NAICS code
424410
NAICS vintage
2022
Avg employees
358
Total hours worked
760330
EIN
202120709
Establishment ID
722589
Employer case #
1201WC2303

When (timing detail)

Date of incident
Shift started
16:00:00.000
Time of incident
1:00:00.000
Filing year
2023
Submitted
06MAR24:18:38:00

More injuries at Foodservice Shawano - 0564

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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.