Racine, WI —
OSHA Injury Report: 534-00378
Injury · Other recordable case
At a glance
On , an injury at 534-00378 in Racine, WI 53402 resulted in other recordable case. Employee was sTR MGMT ASST S in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00378
- Parent company
- Roundy's
- Street
- 5111 Douglas Ave
- City
- Racine
- State
- WI
- ZIP
- 53402
- On-site location
- STORE ROOF
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
CHECKING FOR WATER LEAK
What happened
EE WAS ON ROOF CHECKING FOR WATER LEAK AND HIT HEAD ON SIDE OF AN AIR VENT EE HAS GOTTEN 4 STITCHES ON HIS RIGHT TEMPLE
Injury or illness
Lacerated Right Face struck against stationary obje AIR VENT
Object or substance involved
AIR VENT
Summary line
Lacerated Right Face struck against stationary obje AIR VENT
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
- 126
- Total hours worked
- 152304
- EIN
- 390854535
- Establishment ID
- 966292
- Employer case #
- 860235
When (timing detail)
- Date of incident
- Shift started
- 12:01:00.000
- Time of incident
- 14:30:00.000
- 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.