Deforest, WI —
OSHA Injury Report: 534-00393
Injury · Days away from work
At a glance
On , an injury at 534-00393 in Deforest, WI 53532 resulted in days away from work. Employee was dAIRY CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00393
- Parent company
- Roundy's
- Street
- 621 S Main St
- City
- Deforest
- State
- WI
- ZIP
- 53532
- On-site location
- DAIRY COOLER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 15
- Days restricted or transferred
- 6
Before the incident
BREAKING DOWN MILK PALLET
What happened
EE was moving milk crate to stock the milk When EE twisted while holding milk crate and felt or heard a pop in his left upper back and then felt pain Per Dr injury is a torn muscle in his back
Injury or illness
Strained Posterior Upper back Lifting FULL CRATE OF MILK
Object or substance involved
FULL CRATE OF MILK
Summary line
Strained Posterior Upper back Lifting FULL CRATE OF MILK
Employee and industry
- Job description
- DAIRY CLERK
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 114
- Total hours worked
- 106862
- EIN
- 390854535
- Establishment ID
- 966304
- Employer case #
- 857213
When (timing detail)
- Date of incident
- Shift started
- 14:00:00.000
- Time of incident
- 15:00:00.000
- 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.