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 sTORE NIGHT 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
- DRUG GM SALES FLOOR AISLE 10
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 22
Before the incident
LIFTING A BAG OF DOG FOOD OVERHEAD
What happened
EE WAS IN AISLE 10 WORKING OFF A PALLET LIFTEN A 40 POUND BAG OF DOG FOOD LIFTED IT ABOVE HIS HEAD THEN HELD IT AT CHEST LEVEL HE STARTED TO DROP IT AND AS HE TRIED TO CATCH IT HE HURT HIS LEFT FOREARM CLAIMS IT FEELS WARM AND TIIGHT
Injury or illness
Strained Left Lower arm Lifting 40LBS BAG OF DOG FOOD
Object or substance involved
40LBS BAG OF DOG FOOD
Summary line
Strained Left Lower arm Lifting 40LBS BAG OF DOG FOOD
Employee and industry
- Job description
- STORE NIGHT CLERK
- SOC code
- 53-7065 — Stockers and Order Fillers
- 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 #
- 872466
When (timing detail)
- Date of incident
- Shift started
- 23:00
- Time of incident
- 2:00
- 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.