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Safety Incidents OSHA Severe Injury Reports · 2015–2025

MENOMONEE FALLS, WI —

OSHA Injury Report: 534-00889

Injury · Days away from work

At a glance

On , an injury at 534-00889 in N77W14435 Appleton Ave, MENOMONEE FALLS, WI 53051 resulted in days away from work. Employee was sTORE NIGHT CLERK in supermarkets and Other Grocery Except Convenience Stores.

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Where did this happen?

Establishment
534-00889
Parent company
Roundy's
Street
N77W14435 Appleton Ave
City
MENOMONEE FALLS
State
WI
ZIP
53051
On-site location
DOCKING STATION

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
180

Before the incident

UNLOADING TRUCK

What happened

The night leader was pulling out pallet off the truck when the pallet flipped over and reporting that he hit his head on the dock Night lead seems to be in a lot of pain on his lower backhips area and not his head

Injury or illness

Strained Posterior Low back Fall from different level GROUND

Object or substance involved

GROUND

Summary line

Strained Posterior Low back Fall from different level GROUND

Employee and industry

Job description
STORE NIGHT CLERK
SOC code
53-7065 — Stockers and Order Fillers
NAICS code
445110 — Supermarkets and Other Grocery Except Convenience Stores
NAICS vintage
2012
Avg employees
141
Total hours worked
190806
EIN
390854535
Establishment ID
966350
Employer case #
867099

When (timing detail)

Date of incident
Shift started
21:00
Time of incident
21:00
Filing year
2024
Submitted
26FEB2025:20:58:00

More injuries at 534-00889

View 534-00889'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.