Plover, WI —
OSHA Injury Report: 534-00101
Injury · Other recordable case
At a glance
On , an injury at 534-00101 in Plover, WI 54467 resulted in other recordable case. Employee was sTR MGMT ASST S in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00101
- Parent company
- Roundy's
- Street
- 1850 Plover Rd
- City
- Plover
- State
- WI
- ZIP
- 54467
- On-site location
- RECIEVING DOCK
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
UNLOADING THE TRUCK
What happened
EE WAS UNLOADING TRUCK AND PALLET SHIFTED AND HE WAS UNABLE TO MOVE HIS FOOT AND PIT RAN OVER HIS RIGHT FOOT RIGHT FOOT IS SWOLLEN AND HARD TO WALK
Injury or illness
Crushed Right Foot Struck by motor vehicle power jack
Object or substance involved
power jack
Summary line
EE WAS UNLOADING TRUCK AND PALLET SHIFTED AND HE WAS UNABLE TO MOVE HIS FOOT AND PIT RAN OVER HIS RI
Employee and industry
- Job description
- STR MGMT ASST S
- 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
- 143
- Total hours worked
- 169777
- EIN
- 390854535
- Establishment ID
- 966250
- Employer case #
- 894481
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 12:15
- Filing year
- 2025
- Submitted
- 17FEB26:14:50:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.