MUKWONAGO, WI —
OSHA Injury Report: 534-00384
Injury · Days away from work
At a glance
On , an injury at 534-00384 in MUKWONAGO, WI 53149 resulted in days away from work. Employee was sTORE NIGHT CLE in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00384
- Parent company
- Roundy's
- Street
- 1010 N Rochester St
- City
- MUKWONAGO
- State
- WI
- ZIP
- 53149
- On-site location
- GROCERY BACKROOM
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 69
Before the incident
[REDACTED]
What happened
EE DRAGGING PALLET TO BACK ROOM PALLET SLIPPED AND TRIPPED EE EE FELL AND FRACTURED RIGHT [REDACTED]
Injury or illness
Fracture Right Elbow Fall on same level FLOOR
Object or substance involved
FLOOR
Summary line
EE DRAGGING PALLET TO BACK ROOM PALLET SLIPPED AND TRIPPED EE EE FELL AND FRACTURED RIGHT [REDACTED]
Employee and industry
- Job description
- STORE NIGHT CLE
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 172
- Total hours worked
- 188368
- EIN
- 390854535
- Establishment ID
- 966297
- Employer case #
- 890832
When (timing detail)
- Date of incident
- Shift started
- 18:00
- Time of incident
- 19:00
- 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.