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 drug GM Dept C 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
- GROCERY RECEIVING ON TRAILER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
DOWN STACKING PALLET ON TRAILER
What happened
EE WAS UNLOADING A DELIVERY TRUCK AND THERE WERE SOME TOMATOES SMASHED ON THE FLOOR AND THE EE SLIPPED ON THEM HURTING HER LOWER BACK AND RIGHT KNEE
Injury or illness
Bruised Right Knee Fall from liquid orgrease TRAILER FLOOR
Object or substance involved
TRAILER FLOOR
Summary line
Bruised Right Knee Fall from liquid or grease TRAILER FLOOR
Employee and industry
- Job description
- Drug GM Dept C
- SOC code
- 9999 — Uncoded
- 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 #
- 849896
When (timing detail)
- Date of incident
- Shift started
- 21:00:00.000
- Time of incident
- 20:00:00.000
- 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.