Janesville, WI —
OSHA Injury Report: Janesville - Main Store
Injury · Days away from work
At a glance
On , an injury at Janesville - Main Store in Janesville, WI 53545 resulted in days away from work. Employee was hychiDeptMgrH in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- Janesville - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 2500 Humes Rd
- City
- Janesville
- State
- WI
- ZIP
- 53545
- On-site location
- HyChi kitchen
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 24
- Days restricted or transferred
- 102
Before the incident
lifting 50lb bag of rice from table to empty into rice storage container
What happened
lifting bag of rice from table to pour into container when she heard a pop followed by pain in her left shoulder.
Injury or illness
INJURY TYPE: Strain || BODY PARTS AFFECTED: Shoulders
Object or substance involved
lifting 50 lb bag of rice
Summary line
Left shoulder strain from lifting 50 lb bag of rice
Employee and industry
- Job description
- HychiDeptMgrH
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 445110 — Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 241
- Total hours worked
- 313356
- EIN
- 420325638
- Establishment ID
- 1028340
- Employer case #
- 2025-7
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 14:30
- Filing year
- 2025
- Submitted
- 27FEB26:18:36:00
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.