Ashwaubenon, WI ·
OSHA Injury Report: Ashwaubenon - Main Store
Injury · Other recordable case
At a glance
On , an injury at Ashwaubenon - Main Store in 2395 S Oneida St, Ste 100, Ashwaubenon, WI 54304 resulted in other recordable case. Employee was wb Dining Rm Attndnt 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
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Went out to parking lot area to light gas grill and realized too late that the gas was left on and a big ball of fire came out when they opened the lid.
What happened
Went out to parking lot area to light gas grill and realized too late that the gas was left on and a big ball of fire came out when they opened the lid.
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
Right arm burn from lighting gas grill.
Employee and industry
- Job description
- Wb Dining Rm Attndnt
- SOC code
- 9999: Uncoded
- 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 #
- 2023-34
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 10:00
- 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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