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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Janesville, WI —

OSHA Injury Report: Janesville - Main Store

Injury · Days away from work

At a glance

On , an injury at Janesville - Main Store in 5884 Westown Parkway, Janesville, WI 53545 resulted in days away from work. Employee was courtesy Clerk in supermarkets and Other Grocery except Convenience Stores.

Where did this happen?

Establishment
Janesville - Main Store
Parent company
HYVEE INC
Street
5884 Westown Parkway
City
Janesville
State
WI
ZIP
53545
On-site location
Property of Mitch Woodstock 2721 S. Tollefson Rd. Orfordville WI 53576 608-728-3088

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
15
Days restricted or transferred
15

Before the incident

Delivering flowers

What happened

[REDACTED] got out of the van and was greeted by 2 dogs (small black lab and believes a golden retriever) both friendly. [REDACTED] started walking up to the house on a paved walkway with the golden following him. About 10 feet from the steps the golden retriever cut in front of him and [REDACTED] fell forward and to the left landing on his left side elbow that was tucked against his body clipboard in left hand and flowers in the right hand. [REDACTED] got up and walked up the steps to the door ringing the doorbell a few times then called the man to notify him that he had a floral delivery. The man asked about his two rugrats [REDACTED] left the flowers on the table as instructed and walked to the van being escorted by the two friendly dogs and [REDACTED] left.

Injury or illness

INJURY TYPE: Fracture || BODY PART(S) AFFECTED: - Chest(Ribs Sternum & Soft Tissue)

Object or substance involved

carrying a clipboard and floral arrangement

Summary line

Closed fracture of multiple ribs left side from a fall.

Employee and industry

Job description
Courtesy Clerk
SOC code
53-7064 — Packers and Packagers, Hand
NAICS code
445110 — Supermarkets and Other Grocery except Convenience Stores
NAICS vintage
2012
Avg employees
246
Total hours worked
319621
EIN
420325638
Establishment ID
1028340
Employer case #
2024-5

When (timing detail)

Date of incident
Shift started
8:00
Time of incident
11:30
Filing year
2024
Submitted
28FEB2025:20:13:00

More injuries at Janesville - Main Store

View Janesville - Main Store'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.