Janesville, WI —
OSHA Injury Report: Janesville - Main Store
Injury · Other recordable case
At a glance
On , an injury at Janesville - Main Store in Janesville, WI 53545 resulted in other recordable case. Employee was meatDeptMgrS 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
- outside entrance of building
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
walking into the building to start work
What happened
while walking into the building height level of walkway changed to upward elevation left foot caught edge of concrete causing a trip that sent her body in forward motion down onto left side of face- shoulder- elbow breaking her glasses completely small cuts on left side of face and bridge of nose. Later while working her arm began to hurt more so then she went to urgent care then sent to the emergency room.
Injury or illness
INJURY TYPE: Fracture || BODY PARTS AFFECTED: Elbow
Object or substance involved
floor
Summary line
Fracture of left elbow from trip fall while walking.
Employee and industry
- Job description
- MeatDeptMgrS
- 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 #
- 2025-1
When (timing detail)
- Date of incident
- Shift started
- 5:30
- Time of incident
- 5:30
- 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.