Ashwaubenon, WI ·
OSHA Injury Report: Ashwaubenon - Main Store
Injury · Job transfer or restriction
At a glance
On , an injury at Ashwaubenon - Main Store in 2395 S Oneida St Ste 100, Ashwaubenon, WI 54304 resulted in job transfer or restriction. Employee was ctl Cycle Cnt Spec 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
- Back room
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 35
Before the incident
unloading pallets in backroom
What happened
unloading a pallet and your foot got stuck in the plastic wrap at bottom of pallet. Fell forward hitting his forehead and falling on arms and knees
Injury or illness
INJURY TYPE: Inflammation || BODY PART(S) AFFECTED: - Elbow
Object or substance involved
pallet and plastic wrap
Summary line
right arm strain and right wrist sprain from tripping on plastic wrap from pallet
Employee and industry
- Job description
- Ctl Cycle Cnt Spec
- SOC code
- 9999: Uncoded
- NAICS code
- 445110: Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 250
- Hours worked at this establishment (2024 total)
- 322,587
- EIN
- 420325638
- Establishment ID
- 1028221
- Employer case #
- 2024-14
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 13:45
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at Ashwaubenon - Main Store
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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