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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: Vistar Wisconsin - 4001

Injury · Job transfer or restriction

On , an injury at Vistar Wisconsin - 4001 in N173 W21441 Northwest Passage, Jackson, WI 53037 resulted in job transfer or restriction. Employee was selector Formula.

Street
N173 W21441 Northwest Passage
City
Jackson
State
WI
ZIP
53037
On-site location
Vistar Wisconsin 4001 Freezer doorway
Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
9

Strain Injury by Repetitive Motion

[REDACTED] stated he had a sharp pain go down his back as he was leaving the freezer on the riding pallet [REDACTED]

Cause Strain or Injury By Body Part Low Back Area Body Part Position Detail Cause Strain Injury by Repetitive Motion

Walking Working Surface Uneven Surface not ramp

Cause Strain or Injury By Body Part Low Back Area Body Part Position Detail Cause Strain Injury by Repetitive Motion

Job description
Selector Formula
SOC code
51-9061 — Inspectors, Testers, Sorters, Samplers, and Weighers
NAICS code
424410
NAICS vintage
2022
Avg employees
32
Total hours worked
70388
EIN
840629503
Establishment ID
722593
Employer case #
1201WC2303
Date of incident
Shift started
14:00:00.000
Time of incident
14:45:00.000
Filing year
2023
Submitted
06MAR24:20:44:00

View Vistar Wisconsin - 4001's full OSHA safety record →

WM 5373

WM 3497

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.