OCONOMOWOC, WI —
OSHA Injury Report: 534-00413
Injury · Days away from work
At a glance
On , an injury at 534-00413 in OCONOMOWOC, WI 53066 resulted in days away from work. Employee was grocery Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00413
- Parent company
- Roundy's
- Street
- N48W36903 E Wisconsin Ave
- City
- OCONOMOWOC
- State
- WI
- ZIP
- 53066
- On-site location
- UTILITY CLOSET
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
PULLING CORD LAYING ON GROUND
What happened
EE WAS GRABBING A CORD AND BOX FELL AND STRUCK BACK OF HEAD LACERATION TO BACK OF HEAD
Injury or illness
Lacerated Posterior Face Struck by object BOX
Object or substance involved
BOX
Summary line
Lacerated Posterior Face Struck by object BOX
Employee and industry
- Job description
- Grocery Clerks
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 149
- Total hours worked
- 138796
- EIN
- 390854535
- Establishment ID
- 966317
- Employer case #
- 866564
When (timing detail)
- Date of incident
- Shift started
- 16:00:00.000
- Time of incident
- 19:30:00.000
- 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.