Ashwaubenon, WI ·
OSHA Injury Report: Ashwaubenon - Main Store
Injury · Days away from work
At a glance
On , an injury at Ashwaubenon - Main Store in 2395 S Oneida St, Ste 100, Ashwaubenon, WI 54304 resulted in days away from work. Employee was catering Manager 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
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 18
- Days restricted or transferred
- 18
Before the incident
lighting grill
What happened
Employee was lighting the grill (improperly) when a fireball occurred causing multiple burns to his upper extremities.
Injury or illness
INJURY TYPE: Burn || BODY PART(S) AFFECTED: Multiple Upper Extremities
Object or substance involved
Gas grill
Summary line
Face neck head rt forearm rt hands burns from lighting gas grill
Employee and industry
- Job description
- Catering Manager
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 309
- Hours worked at this establishment (2023 total)
- 381,648
- EIN
- 420325638
- Establishment ID
- 1028221
- Employer case #
- 2023-41
When (timing detail)
- Date of incident
- Shift started
- 09:00
- Time of incident
- 10:45
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Ashwaubenon - Main Store
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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