Appleton, WI —
OSHA Injury Report: 534-00187
Injury · Days away from work
At a glance
On , an injury at 534-00187 in Appleton, WI 54915 resulted in days away from work. Employee was dAIRY DEPT LEAD in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00187
- Parent company
- Roundy's
- Street
- 511 W Calumet St
- City
- Appleton
- State
- WI
- ZIP
- 54915
- On-site location
- GROCERY BACKROOM SWINGING DOORS
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 5
Before the incident
PULLING ICE CREAM PALLET TO SALES FLOOR
What happened
[REDACTED] was pulling a pallet in the back room the pallet ran over three toes of her right foot
Injury or illness
Bruised Right Foot Caught in object handled PALLET JACK WITH ICE CREAM PALLET
Object or substance involved
PALLET JACK WITH ICE CREAM PALLET
Summary line
Bruised Right Foot Caught in object handled PALLET JACK WITH ICE CREAM PALLET
Employee and industry
- Job description
- DAIRY DEPT LEAD
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 118
- Total hours worked
- 146606
- EIN
- 390854535
- Establishment ID
- 966273
- Employer case #
- 854286
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 6:30:00.000
- 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.