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
- BACK OF THE STORE
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 4
- Days restricted or transferred
- 6
Before the incident
PULLING A PALLET
What happened
EE WAS PULLING A PALLET OF FROZEN AS HE WAS TURNING HE FELT A POP IN HIS LEFT FOOT
Injury or illness
Sprained Left Foot Strained self
Object or substance involved
self
Summary line
Sprained Left Foot Strained self
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 #
- 879132
When (timing detail)
- Date of incident
- Shift started
- 22:00
- Time of incident
- 4:00
- 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.