MENOMONEE FALLS, WI —
OSHA Injury Report: 534-00889
Injury · Days away from work
At a glance
On , an injury at 534-00889 in MENOMONEE FALLS, WI 53051 resulted in days away from work. Employee was general Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00889
- Parent company
- Roundy's
- Street
- N77W14435 Appleton Ave
- City
- MENOMONEE FALLS
- State
- WI
- ZIP
- 53051
- On-site location
- INSIDE DELIVERY TRUCK
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 158
- Days restricted or transferred
- 22
Before the incident
CLEANING SPILLED PALLETS
What happened
EE was inside of a delivery truck cleaning up spilled pallets when the truck driver drove away from the dock and she fell out of the back of the truck onto the ground
Injury or illness
Strained Posterior Low back Fall from different level ramp ground
Object or substance involved
ramp ground
Summary line
Strained Posterior Low back Fall from different level ramp ground
Employee and industry
- Job description
- General Clerks
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 141
- Total hours worked
- 190806
- EIN
- 390854535
- Establishment ID
- 966350
- Employer case #
- 867006
When (timing detail)
- Date of incident
- Shift started
- 21:03
- Time of incident
- 0:30
- 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.