Janesville, WI —
OSHA Injury Report: Janesville - Main Store
Injury · Days away from work
At a glance
On , an injury at Janesville - Main Store in Janesville, WI 53545 resulted in days away from work. Employee was mrktgrl Cook in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- Janesville - Main Store
- Parent company
- HY-VEE, INC.
- Street
- 2500 Humes Rd
- City
- Janesville
- State
- WI
- ZIP
- 53545
- On-site location
- In the produce cooler
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
- Days restricted or transferred
- 3
Before the incident
was standing on step ladder to grab the case of oranges off of shelving and fell backwards
What happened
was standing on step ladder to grab the case of oranges off of shelving and fell backwards
Injury or illness
INJURY TYPE: Contusion || BODY PART(S) AFFECTED: - Sacrum and Coccyx
Object or substance involved
standing on ladder
Summary line
Contusion of buttock from fall off ladder
Employee and industry
- Job description
- Mrktgrl Cook
- SOC code
- 35-2021 — Food Preparation Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 305
- Total hours worked
- 374923
- EIN
- 420325638
- Establishment ID
- 1028340
- Employer case #
- 2023-24
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 5:40:00.000
- Submitted
- 29FEB24:15:46:00
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.