BROOKFIELD, WI —
OSHA Injury Report: 534-00853
Injury · Other recordable case
At a glance
On , an injury at 534-00853 in BROOKFIELD, WI 53005 resulted in other recordable case. Employee was e COMMERCE DEPT in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00853
- Parent company
- Roundy's
- Street
- 12735 W Capitol Dr
- City
- BROOKFIELD
- State
- WI
- ZIP
- 53005
- On-site location
- PICK UP FRIDGE
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
GETTING ORDERS
What happened
EE WAS WAY BEHIND DUE TO DAY BEFORE THANKSGIVING [REDACTED] A TOTE IN THE [REDACTED] HAD 4 GALLONS OF MILK THE TOTE WAS HEAVIER THAN EE THOUGHT AND HE ATTEMPTED IN CATCHING THE TOTE IN DOING SO LEANED TOWARDS THE [REDACTED] DOOR WHICH STRUCK HIS FRONT TOOTH CHIP
Injury or illness
Fracture Anterior Teeth Struck by object being handled FRIDGE DOOR
Object or substance involved
FRIDGE DOOR
Summary line
EE WAS WAY BEHIND DUE TO DAY BEFORE THANKSGIVING [REDACTED] TOTE IN THE FRIDGE HAD 4 GALLONS OF MILK T
Employee and industry
- Job description
- e COMMERCE DEPT
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 132
- Total hours worked
- 190958
- EIN
- 390854535
- Establishment ID
- 966332
- Employer case #
- 907767
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 10:00
- 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.