Janesville, WI —
OSHA Injury Report: Janesville - Main Store
Injury · Days away from work
At a glance
On , an injury at Janesville - Main Store in Janesville, WI 53545 resulted in days away from work. Employee was courtesy Clerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Janesville - Main Store
- Parent company
- HYVEE INC
- Street
- 5884 Westown Parkway
- City
- Janesville
- State
- WI
- ZIP
- 53545
- On-site location
- Property of Mitch Woodstock 2721 S. Tollefson Rd. Orfordville WI 53576 608-728-3088
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 15
- Days restricted or transferred
- 15
Before the incident
Delivering flowers
What happened
[REDACTED] got out of the van and was greeted by 2 dogs (small black lab and believes a golden retriever) both friendly. [REDACTED] started walking up to the house on a paved walkway with the golden following him. About 10 feet from the steps the golden retriever cut in front of him and [REDACTED] fell forward and to the left landing on his left side elbow that was tucked against his body clipboard in left hand and flowers in the right hand. [REDACTED] got up and walked up the steps to the door ringing the doorbell a few times then called the man to notify him that he had a floral delivery. The man asked about his two rugrats [REDACTED] left the flowers on the table as instructed and walked to the van being escorted by the two friendly dogs and [REDACTED] left.
Injury or illness
INJURY TYPE: Fracture || BODY PART(S) AFFECTED: - Chest(Ribs Sternum & Soft Tissue)
Object or substance involved
carrying a clipboard and floral arrangement
Summary line
Closed fracture of multiple ribs left side from a fall.
Employee and industry
- Job description
- Courtesy Clerk
- SOC code
- 53-7064 — Packers and Packagers, Hand
- NAICS code
- 445110 — Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 246
- Total hours worked
- 319621
- EIN
- 420325638
- Establishment ID
- 1028340
- Employer case #
- 2024-5
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 11:30
- 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.