MUKWONAGO, WI —
OSHA Injury Report: 534-00384
Injury · Other recordable case
At a glance
On , an injury at 534-00384 in MUKWONAGO, WI 53149 resulted in other recordable case. Employee was sTR MGMT ASST S in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00384
- Parent company
- Roundy's
- Street
- 1010 N Rochester St
- City
- MUKWONAGO
- State
- WI
- ZIP
- 53149
- On-site location
- DELI MEAT COOLER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
PUTTING DELI MEAT BACK AGAINST THE WALL
What happened
EE was putting deli chicken box away in the meat cooler where food is stored and he stood up and hit his right shoulder on the shelf above him which resulted in a laceration or gash in the area
Injury or illness
Lacerated Right Upper back Cut punctured scraped METAL SHELF
Object or substance involved
METAL SHELF
Summary line
Lacerated Right Upper back Cut punctured scraped METAL SHELF
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
- 180
- Total hours worked
- 185405
- EIN
- 390854535
- Establishment ID
- 966297
- Employer case #
- 853548
When (timing detail)
- Date of incident
- Shift started
- 15:00:00.000
- Time of incident
- 19:45:00.000
- 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.