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 Dept Mg 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 FREEZER
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 14
Before the incident
BENDING OVER GETTING PRODUCT OUT OF BOX
What happened
The ee was in the freezer and bent over to get an item out of the box and took the item into the bakery The ees right upper leg going into the back had pain It was hard to walk on the leg There was a possible strain to the knee per the doctor
Injury or illness
Sprained Right Knee Strained SELF
Object or substance involved
SELF
Summary line
Sprained Right Knee Strained SELF
Employee and industry
- Job description
- Bakery Dept Mg
- SOC code
- 9999 — Uncoded
- 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 #
- 864196
When (timing detail)
- Date of incident
- Shift started
- 3:00:00.000
- Time of incident
- 5:00:00.000
- 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.