Hayward, WI ·
OSHA Injury Report: "2583 Market Place Hayward, WI"
Injury · Days away from work
At a glance
On , an injury at "2583 Market Place Hayward, WI" in 10514 South Main Street, Hayward, WI 54843 resulted in days away from work. Employee was bakery Department Lead in retail Grocery.
Where did this happen?
- Establishment
- "2583 Market Place Hayward, WI"
- Parent company
- "Coborn's, Inc"
- Street
- 10514 South Main Street
- City
- Hayward
- State
- WI
- ZIP
- 54843
- On-site location
- Back Room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 68
- Days restricted or transferred
- 112
Before the incident
walking
What happened
Fracture Left Shoulder -Stepped on small piece of pallet wood lost balance falling onto shoulder (Surgery RX PT)
Injury or illness
Left shoulder fracture
Object or substance involved
Piece of pallet wood ground
Summary line
Fracture Left Shoulder -Stepped on small piece of pallet wood lost balance falling onto shoulder (Surgery RX PT)
Employee and industry
- Job description
- Bakery Department Lead
- SOC code
- 9999: Uncoded
- NAICS code
- 445110: Retail Grocery
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 121
- Hours worked at this establishment (2024 total)
- 126,783
- EIN
- 410824910
- Establishment ID
- 1363777
- Employer case #
- R2024204
When (timing detail)
- Date of incident
- Shift started
- 05:57
- Time of incident
- 08:01
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
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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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