MADISON, WI —
OSHA Injury Report: 534-00178
Injury · Days away from work
At a glance
On , an injury at 534-00178 in MADISON, WI 53704 resulted in days away from work. Employee was sTR MGMT ASST S in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00178
- Parent company
- Roundy's
- Street
- 2502 Shopko Dr
- City
- MADISON
- State
- WI
- ZIP
- 53704
- On-site location
- GROCERY BACKROOM RECEIVING DOCK
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
UNLOADING TRUCK
What happened
THE EE WAS UNLOADING A TRUCK AND A BOX OF SOUP CANS FELL ON HER HEAD THE EE WENT TO URGENT CARE FOR TREATMENT NO INJURIES
Injury or illness
Concussion Anterior Face Struck by object CASE OF SOUP
Object or substance involved
CASE OF SOUP
Summary line
Concussion Anterior Face Struck by object CASE OF SOUP
Employee and industry
- Job description
- STR MGMT ASST S
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 117
- Total hours worked
- 133378
- EIN
- 390854535
- Establishment ID
- 966265
- Employer case #
- 863623
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 13:15:00.000
- 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.