Wautoma, WI —
OSHA Injury Report: 534-00175
Injury · Job transfer or restriction
At a glance
On , an injury at 534-00175 in Wautoma, WI 54982 resulted in job transfer or restriction. Employee was bAKERY ASST DEP in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00175
- Parent company
- Roundy's
- Street
- N2573 Plaza Rd
- City
- Wautoma
- State
- WI
- ZIP
- 54982
- On-site location
- BAKERY BACKROOM BY FREEZER
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 27
Before the incident
PULLING BOXES FROM FREEZER
What happened
EE WAS LIFTING BENDING BOXES WHEN SHE FELT A PULL IN THE MID LOWER BACK
Injury or illness
Strained Posterior Low back Lifting BOXES
Object or substance involved
BOXES
Summary line
Strained Posterior Low back Lifting BOXES
Employee and industry
- Job description
- BAKERY ASST DEP
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 75
- Total hours worked
- 91798
- EIN
- 390854535
- Establishment ID
- 966264
- Employer case #
- 853037
When (timing detail)
- Date of incident
- Shift started
- 12:00:00.000
- Time of incident
- 14:00:00.000
- Submitted
- 28FEB24:20:55:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.