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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Jackson, WI —

OSHA Injury Report: Vistar Wisconsin - 4001

Injury · Days away from work

At a glance

On , an injury at Vistar Wisconsin - 4001 in N173 W21441 Northwest Passage, Jackson, WI 53037 resulted in days away from work. Employee was selector Formula.

Where did this happen?

Establishment
Vistar Wisconsin - 4001
Street
N173 W21441 Northwest Passage
City
Jackson
State
WI
ZIP
53037
On-site location
Vistar Wisconsin 4001 north part of warehouse in aisle

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
28

Before the incident

Strain Injury by Lifting

What happened

employee was putting product away in the slot and heard and felt a pop in his elbow

Injury or illness

Cause Strain or Injury By Body Part Elbow Body Part Position Right Detail Cause Strain Injury by Lifting

Object or substance involved

Product Freight 0 40 lbs

Summary line

Cause Strain or Injury By Body Part Elbow Body Part Position Right Detail Cause Strain Injury by Lifting

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
32
Total hours worked
70388
EIN
840629503
Establishment ID
722593
Employer case #
1201WC2403

When (timing detail)

Date of incident
Shift started
4:00:00.000
Time of incident
12:10:00.000
Submitted
06MAR24:20:44:00

More injuries at Vistar Wisconsin - 4001

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

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.