Wautoma, WI —
OSHA Injury Report: 534-00175
Injury · Days away from work
At a glance
On , an injury at 534-00175 in Wautoma, WI 54982 resulted in days away from work. Employee was bAKERY BAKER 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 PREP ROOM
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
[REDACTED] FRY SCREENS
What happened
EE was setting up for donuts while picking up donut screens the EE heard a pop in her lower back EE suffered pain to her lower back EE did not receive and medical [REDACTED] from the employer EE plans to seek medical [REDACTED]
Injury or illness
Strained Posterior Low back Lifting DONUT FRY SCREENS
Object or substance involved
DONUT FRY SCREENS
Summary line
Strained Posterior Low back Lifting DONUT FRY SCREENS
Employee and industry
- Job description
- BAKERY BAKER
- SOC code
- 51-3011 — Bakers
- 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 #
- 860453
When (timing detail)
- Date of incident
- Shift started
- 2:00:00.000
- Time of incident
- 2:30:00.000
- 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.