HALES CORNERS, WI —
OSHA Injury Report: 534-00366
Injury · Days away from work
At a glance
On , an injury at 534-00366 in HALES CORNERS, WI 53130 resulted in days away from work. Employee was general Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00366
- Parent company
- Roundy's
- Street
- 5800 S 108th St
- City
- HALES CORNERS
- State
- WI
- ZIP
- 53130
- On-site location
- GENERAL SALES FLOOR
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
FACING PRODUCT
What happened
EE was facing product using milk crate as stool and was sliding along floor milk crate hit obstruction on ground milk crate stopped and EE slid off milk crate fell backwards and hit head Head has a 1 inch laceration which required 1 staple Concu
Injury or illness
Lacerated Posterior Head Fall on same level FLOOR
Object or substance involved
FLOOR
Summary line
Lacerated Posterior Head Fall on same level FLOOR
Employee and industry
- Job description
- General Clerks
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 116
- Total hours worked
- 144086
- EIN
- 390854535
- Establishment ID
- 966286
- Employer case #
- 855746
When (timing detail)
- Date of incident
- Shift started
- 22:00:00.000
- Time of incident
- 22:30:00.000
- 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.