WATERFORD, WI —
OSHA Injury Report: 534-00410
Injury · Other recordable case
At a glance
On , an injury at 534-00410 in WATERFORD, WI 53185 resulted in other recordable case. Employee was deli Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00410
- Parent company
- Roundy's
- Street
- 515 N Milwaukee St
- City
- WATERFORD
- State
- WI
- ZIP
- 53185
- On-site location
- DELI PREP ROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
STANDING
What happened
[REDACTED] PUSHING A RACK OF BREAD AND STUCK THE RIGHT SIDE OF EE HURT NECK BACK AND SHOULDEER
Injury or illness
Strained Anterior Neck Struck by object handled BREAD RACK
Object or substance involved
BREAD RACK
Summary line
Strained Anterior Neck Struck by object handled BREAD RACK
Employee and industry
- Job description
- Deli Clerks
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 126
- Total hours worked
- 126497
- EIN
- 390854535
- Establishment ID
- 966315
- Employer case #
- 862203
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 8:40:00.000
- 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.