Appleton, WI —
OSHA Injury Report: 534-00403
Injury · Days away from work
At a glance
On , an injury at 534-00403 in Appleton, WI 54915 resulted in days away from work. Employee was pRODUCE CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00403
- Parent company
- Roundy's
- Street
- N135 Stoney Brook Rd
- City
- Appleton
- State
- WI
- ZIP
- 54915
- On-site location
- PRODUCE PREP ROOM
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 24
- Days restricted or transferred
- 54
Before the incident
LIFTING BOXES
What happened
EE WAS LIFTING BOXES AND TWEAKED LEFT ELBOW
Injury or illness
Sprained Left Elbow Lifting BOXES OF PRODUCE
Object or substance involved
BOXES OF PRODUCE
Summary line
Sprained Left Elbow Lifting BOXES OF PRODUCE
Employee and industry
- Job description
- PRODUCE CLERK
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 103
- Total hours worked
- 136075
- EIN
- 390854535
- Establishment ID
- 966309
- Employer case #
- 878368
When (timing detail)
- Date of incident
- Shift started
- 19:00
- Time of incident
- 19:25
- 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.