Fort Atkinson, WI —
OSHA Injury Report: 534-00396
Injury · Job transfer or restriction
At a glance
On , an injury at 534-00396 in Fort Atkinson, WI 53538 resulted in job transfer or restriction. Employee was bAKERY LEAD CLE in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00396
- Parent company
- Roundy's
- Street
- 1505 Madison Ave
- City
- Fort Atkinson
- State
- WI
- ZIP
- 53538
- On-site location
- BAKERY DEPT BACK ROOM
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 6
Before the incident
PUTTING ITEMS ON CART
What happened
BOX FELL OFF RACK HITTING HER RIGHT SHOULDER
Injury or illness
Injured Right Shoulders Struck by object BOX OF PRODUCT
Object or substance involved
BOX OF PRODUCT
Summary line
Injured Right Shoulder Struck by object BOX OF PRODUCT
Employee and industry
- Job description
- BAKERY LEAD CLE
- SOC code
- 51-3011 — Bakers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 128
- Total hours worked
- 116524
- EIN
- 390854535
- Establishment ID
- 966306
- Employer case #
- 858678
When (timing detail)
- Date of incident
- Shift started
- 9:00:00.000
- Time of incident
- 15:26:00.000
- 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.