Brown Deer, WI —
OSHA Injury Report: 534-00867
Injury · Other recordable case
At a glance
On , an injury at 534-00867 in Brown Deer, WI 53209 resulted in other recordable case. Employee was store Co Manage in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00867
- Parent company
- Roundy's
- Street
- 9200 N Green Bay Rd
- City
- Brown Deer
- State
- WI
- ZIP
- 53209
- On-site location
- FRONT END NEAR ENTRANCE
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
ASKING KIDS IN THE STORE TO LEAVE
What happened
EE WAS JUMPED BY 5 UNDERAGE KIDS HURTING HEAD LIP STITCHES IN LEFT [REDACTED] AND LEFT HIP
Injury or illness
Bruised Posterior Skull Struck by ASSAILANTS
Object or substance involved
ASSAILANTS
Summary line
Bruised Posterior Skull Struck by ASSAILANTS
Employee and industry
- Job description
- Store Co Manage
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 92
- Total hours worked
- 115050
- EIN
- 390854535
- Establishment ID
- 966336
- Employer case #
- 850462
When (timing detail)
- Date of incident
- Shift started
- 12:01:00.000
- Time of incident
- 20:30:00.000
- 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.