Deforest, WI —
OSHA Injury Report: 534-00393
Injury · Days away from work
At a glance
On , an injury at 534-00393 in 621 S Main St, Deforest, WI 53532 resulted in days away from work. Employee was eCOMMERCE CLER in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00393
- Parent company
- Roundy's
- Street
- 621 S Main St
- City
- Deforest
- State
- WI
- ZIP
- 53532
- On-site location
- CLICKLIST BACKROOM
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 37
Before the incident
LIFTING TOTES ONTO U BOAT
What happened
EE WAS LIFTING THINGS IN [REDACTED] AND FELT A POP IN HER SHOULDER
Injury or illness
Strained Left Shoulder Lifting HEAVY TOTE
Object or substance involved
HEAVY TOTE
Summary line
Strained Left Shoulder Lifting HEAVY TOTE
Employee and industry
- Job description
- eCOMMERCE CLER
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 120
- Total hours worked
- 119914
- EIN
- 390854535
- Establishment ID
- 966304
- Employer case #
- 870277
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 12:01
- Filing year
- 2024
- Submitted
- 26FEB2025:20:58:00
More injuries at 534-00393
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Deforest, WI—
534-00393
Deforest, WI—
534-00393
Deforest, WI—
534-00393
View 534-00393'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.