MUKWONAGO, WI —
OSHA Injury Report: 534-00384
Injury · Days away from work
At a glance
On , an injury at 534-00384 in MUKWONAGO, WI 53149 resulted in days away from work. Employee was dAIRY LEAD CLER in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00384
- Parent company
- Roundy's
- Street
- 1010 N Rochester St
- City
- MUKWONAGO
- State
- WI
- ZIP
- 53149
- On-site location
- DAIRY COOLER ENTRANCE
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 111
Before the incident
WALKING AROUND PALLET
What happened
EE TRIPPED OVER SOMETHING AND PUT THIS ARM IN THE DOOR WHICH GIT CAUGHT CAUSING A BROKEN BONES TO HIS ARM
Injury or illness
Fracture Right Upper arm Fall FLOOR DOOR WAY
Object or substance involved
FLOOR DOOR WAY
Summary line
Fracture Right Upper arm Fall FLOOR DOOR WAY
Employee and industry
- Job description
- DAIRY LEAD CLER
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 169
- Total hours worked
- 199070
- EIN
- 390854535
- Establishment ID
- 966297
- Employer case #
- 880574
When (timing detail)
- Date of incident
- Shift started
- 21:45
- Time of incident
- 21:55
- 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.