Watertown, WI —
OSHA Injury Report: 534-00888
Injury · Days away from work
At a glance
On , an injury at 534-00888 in Watertown, WI 53094 resulted in days away from work. Employee was sTORE NIGHT CLE in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00888
- Parent company
- Roundy's
- Street
- 624 S Church St
- City
- Watertown
- State
- WI
- ZIP
- 53094
- On-site location
- GROCERY SALES FLOOR AISLE 13 CENTER STORE
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 15
Before the incident
PULLING PALLET
What happened
EE WAS PULLING PALLET 11 12 FEET TALL BROKEN CASE OF TEA ON TOP OF IT FELL OFF AND HIT HIM IN THE LEFT RIB AREA RESULTING IN PAIN INTERNAL BRUISING POSSIBLE BROKEN RIB
Injury or illness
Bruised Left Chest Struck by object CASE OF TEA
Object or substance involved
CASE OF TEA
Summary line
Bruised Left Chest Struck by object CASE OF TEA
Employee and industry
- Job description
- STORE NIGHT CLE
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 134
- Total hours worked
- 151502
- EIN
- 390854535
- Establishment ID
- 966349
- Employer case #
- 862242
When (timing detail)
- Date of incident
- Shift started
- 22:00:00.000
- Time of incident
- 1:00:00.000
- 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.