Inspection Detail

Case Status: CLOSED

Inspection: 1427501.015 - Sysco Food Services Of Baraboo, Llc

Inspection Information - Office: Madison Area Office

Inspection Nr: 1427501.015

Report ID: 0523300

Date Opened: 08/30/2019

Site Address:
Sysco Food Services Of Baraboo, Llc
910 South Blvd
Baraboo, WI 53913

Mailing Address:
P.O. Box 90, Baraboo, WI 53913

Union Status: NonUnion

SIC:

NAICS: 424410/General Line Grocery Merchant Wholesalers

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/30/2019

Emphasis: L:Piv

Case Closed: 12/27/2019

Related Activity
Type	Activity Nr	Safety	Health
Referral	1491222	Yes

Case Status: CLOSED

Investigation Summary

Investigation Nr: 119450.015

Event: 08/22/2019

Employee fractures leg in forklift collision

At 4:00 p.m. on August 22, 2019, an employee was driving a forklift into a freezer. The forklift collided with another forklift, and the employee's leg was fractured. The employee was hospitalized.

Keywords: Collision, Forklift, Fracture, Ind Trk Operator, Industrial Truck, Leg

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1427501.015	50	M	Hospitalized injury		Laborers, except construction

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