Monona, WI —
OSHA Injury Report: 534-00181
Injury · Other recordable case
At a glance
On , an injury at 534-00181 in 6540 Monona Dr, Monona, WI 53716 resulted in other recordable case. Employee was gROCERY DEPT LE in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00181
- Parent company
- Roundy's
- Street
- 6540 Monona Dr
- City
- Monona
- State
- WI
- ZIP
- 53716
- On-site location
- GROCERY DEPT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
MOVING A DOOR
What happened
EE WAS MOVING A BROKEN VENDOR DOOR THE EE WAS USING SHELVES TO HOLD UP THE DOOR AND WHEN HE WENT TO REMOVE THE SHELF IT FELL AND STRUCK HIM ON THE HEAD LACERATION TO FOREHEAD AND POSSIBLE CONCUSSION
Injury or illness
Lacerated Anterior Face Struck by object SHELF
Object or substance involved
SHELF
Summary line
Lacerated Anterior Face Struck by object SHELF
Employee and industry
- Job description
- GROCERY DEPT LE
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 122
- Total hours worked
- 152757
- EIN
- 390854535
- Establishment ID
- 966268
- Employer case #
- 878986
When (timing detail)
- Date of incident
- Shift started
- 4:00
- Time of incident
- 13:55
- Filing year
- 2024
- Submitted
- 26FEB2025:20:58:00
More injuries at 534-00181
View 534-00181's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.