OCONOMOWOC, WI —
OSHA Injury Report: 534-00413
Injury · Other recordable case
At a glance
On , an injury at 534-00413 in OCONOMOWOC, WI 53066 resulted in other recordable case. Employee was sTORE NIGHT CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00413
- Parent company
- Roundy's
- Street
- N48W36903 E Wisconsin Ave
- City
- OCONOMOWOC
- State
- WI
- ZIP
- 53066
- On-site location
- GROCERY BACKROOM AT BAILER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
CUTTING DOWN BOXES FOR BAILER
What happened
The EE was using a company provided safety box cutter to cut open boxes to put in a bailer The EE accidentally cut his left forearm with this box cutter The EE suffered pain with a laceration and bleeding in his left forearm
Injury or illness
Lacerated Left Lower arm Hand tool BOX CUTTER
Object or substance involved
BOX CUTTER
Summary line
Lacerated Left Lower arm Hand tool BOX CUTTER
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
- 144
- Total hours worked
- 168712
- EIN
- 390854535
- Establishment ID
- 966317
- Employer case #
- 873623
When (timing detail)
- Date of incident
- Shift started
- 22:00
- Time of incident
- 5:56
- 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.