Ashwaubenon, WI —
OSHA Injury Report: Ashwaubenon - Main Store
Injury · Job transfer or restriction
At a glance
On , an injury at Ashwaubenon - Main Store in Ashwaubenon, WI 54304 resulted in job transfer or restriction. Employee was mrktgrl Asst Dept Mg in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Ashwaubenon - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 2395 S Oneida St, Ste 100
- City
- Ashwaubenon
- State
- WI
- ZIP
- 54304
- On-site location
- Outdoors
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 6
Before the incident
Went out to parking lot area to light gas grill and realize too late that the gas was left on and a big ball of fire shot out
What happened
Went out to parking lot area to light gas grill using stick lightere and realized too late that the gas was left on and a big ball of fire shot out.
Injury or illness
INJURY TYPE: Burn || BODY PART(S) AFFECTED: - Lower Arm
Object or substance involved
Using stick lighter to light gas grill
Summary line
left forearm burn from lighting gas grill
Employee and industry
- Job description
- Mrktgrl Asst Dept Mg
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 309
- Total hours worked
- 381648
- EIN
- 420325638
- Establishment ID
- 1028221
- Employer case #
- 2023-33
When (timing detail)
- Date of incident
- Shift started
- 5:30:00.000
- Time of incident
- 10:00:00.000
- Submitted
- 29FEB24:15:45:00
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.