Waupaca, WI —
OSHA Injury Report: 534-00352
Injury · Days away from work
At a glance
On , an injury at 534-00352 in Waupaca, WI 54981 resulted in days away from work. Employee was sTORE NIGHT DEP in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00352
- Parent company
- Roundy's
- Street
- 955 W Fulton St
- City
- Waupaca
- State
- WI
- ZIP
- 54981
- On-site location
- GROCERY BACKROOM
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 19
- Days restricted or transferred
- 1
Before the incident
PULLING PALLET [REDACTED]
What happened
EE WAS PULLING OUT A HAND JACK FROM A PALLET AND STRAIN HER MID BACK
Injury or illness
Strained Posterior Upper back Pushing or pulling PALLET JACK
Object or substance involved
PALLET JACK
Summary line
Strained Posterior Upper back Pushing or pulling PALLET JACK
Employee and industry
- Job description
- STORE NIGHT DEP
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 126
- Total hours worked
- 147032
- EIN
- 390854535
- Establishment ID
- 966281
- Employer case #
- 858482
When (timing detail)
- Date of incident
- Shift started
- 23:00:00.000
- Time of incident
- 23:30:00.000
- 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.