WAUKESHA, WI —
OSHA Injury Report: 534-00415
Injury · Days away from work
At a glance
On , an injury at 534-00415 in WAUKESHA, WI 53189 resulted in days away from work. Employee was sTORE NIGHT DEP in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00415
- Parent company
- Roundy's
- Street
- 1220 W Sunset Dr
- City
- WAUKESHA
- State
- WI
- ZIP
- 53189
- On-site location
- GROCERY DEPT SALES FLOOR
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
CLEARING A PALLET
What happened
EE was on salesfloor clearing off pallet then tripped over pallet jack EE Sprained RT shoulder then went to ER
Injury or illness
Sprained Right Shoulder s Fall pallet jack
Object or substance involved
pallet jack
Summary line
EE was on salesfloor clearing off pallet then tripped over pallet jack EE Sprained RT shoulder th
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
- 100
- Total hours worked
- 145230
- EIN
- 390854535
- Establishment ID
- 966319
- Employer case #
- 907560
When (timing detail)
- Date of incident
- Shift started
- 21:00
- Time of incident
- 23:40
- 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.