Waupaca, WI —
OSHA Injury Report: 534-00352
Injury · Days away from work
At a glance
On , an injury at 534-00352 in Waupaca, WI 54981 resulted in days away from work. Employee was cLICKLIST CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00352
- Parent company
- Roundy's
- Street
- 955 W Fulton St
- City
- Waupaca
- State
- WI
- ZIP
- 54981
- On-site location
- CLICKLIST BACKROOM
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 32
- Days restricted or transferred
- 5
Before the incident
STEPPING OFF OF PALLET
What happened
EE WENT TO GRAB TOTE TO TAKE OUT AN ORDER AS EE WAS STEPPING OFF A TOTE RACK THEY ROLLED THEIR RIGHT ANKLE THIS CAUSED THEM TO FALL ALSO HITTING THEIR RIGHT HAND
Injury or illness
Sprained Right Ankle Fall from different level SELF
Object or substance involved
SELF
Summary line
Sprained Right Ankle Fall from different level SELF
Employee and industry
- Job description
- CLICKLIST CLERK
- SOC code
- 53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 121
- Total hours worked
- 169577
- EIN
- 390854535
- Establishment ID
- 966281
- Employer case #
- 868758
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 8:20
- Filing year
- 2024
- Submitted
- 26FEB2025:20:58:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.