Waupaca, WI —
OSHA Injury Report: 534-00352
Injury · Days away from work
At a glance
On , an injury at 534-00352 in Waupaca, WI 54981 resulted in days away from work. Employee was sTORE NIGHT DEP in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00352
- Parent company
- Roundy's
- Street
- 955 W Fulton St
- City
- Waupaca
- State
- WI
- ZIP
- 54981
- On-site location
- GROCERY BACKROOM ON DOCK
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
Before the incident
UNLOADING PERISHABLE TRUCK
What happened
EE was in the middle of doing a perishable truck EE was moving a pallet backward when she tripped over a floor cleaner the pallet jack landed on top of the EE left foot EE sustained contusion and inflammation on the left foot
Injury or illness
Bruised Left Foot Struck by hand tool POWER JACK
Object or substance involved
POWER JACK
Summary line
EE was in the middle of doing a perishable truck EE was moving a pallet backward when she tripped o
Employee and industry
- Job description
- STORE NIGHT DEP
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 121
- Total hours worked
- 163347
- EIN
- 390854535
- Establishment ID
- 966281
- Employer case #
- 893922
When (timing detail)
- Date of incident
- Shift started
- 21:00
- Time of incident
- 1:05
- 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.