Ashwaubenon, WI —
OSHA Injury Report: Ashwaubenon - Main Store
Other illness · Job transfer or restriction
At a glance
On , an other illness at Ashwaubenon - Main Store in Ashwaubenon, WI 54304 resulted in job transfer or restriction. Employee was hychi Dept Mgr H in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Ashwaubenon - Main Store
- Parent company
- HYVEE INC
- Street
- 2395 S Oneida St Ste 100
- City
- Ashwaubenon
- State
- WI
- ZIP
- 54304
- On-site location
- Mia Italian
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Other illness (code 6)
- Days restricted or transferred
- 50
Before the incident
delivering habachi order to customers inn food court walking through [REDACTED]
What happened
walking through [REDACTED] and slipped on flour on floor
Injury or illness
INJURY TYPE: Contusion || BODY PART(S) AFFECTED: - Elbow
Object or substance involved
none
Summary line
left hip contusion from slipping on floor
Employee and industry
- Job description
- Hychi Dept Mgr H
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 250
- Total hours worked
- 322587
- EIN
- 420325638
- Establishment ID
- 1028221
- Employer case #
- 2024-22
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 19:00
- Filing year
- 2024
- Submitted
- 28FEB2025:20:13:00
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.