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 customer Service 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
- Health Market
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 22
- Days restricted or transferred
- 22
Before the incident
She was walking down health market and tripped she said it was her own shoe that tripped her.
What happened
She was returning to work and fell She said that she tripped on her own shoe. She was found on her stomach unable to get up so the paramedics were called.
Injury or illness
INJURY TYPE: All Other Injuries NOC || BODY PART(S) AFFECTED: - Shoulder(s)
Object or substance involved
None used
Summary line
Non displaced fracture right shoulder from trip and fall on floor.
Employee and industry
- Job description
- Customer Service
- SOC code
- 43-4051 — Customer Service Representatives
- 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 #
- 2024-4
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 8:05
- 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.