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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Racine, WI —

OSHA Injury Report: 534-00378

Injury · Other recordable case

At a glance

On , an injury at 534-00378 in 5111 Douglas Ave, Racine, WI 53402 resulted in other recordable case. Employee was sTR MGMT ASST S in supermarkets and Other Grocery Except Convenience Stores.

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Where did this happen?

Establishment
534-00378
Parent company
Roundy's
Street
5111 Douglas Ave
City
Racine
State
WI
ZIP
53402
On-site location
STORE ROOF

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

CHECKING FOR WATER LEAK

What happened

EE WAS ON ROOF CHECKING FOR WATER LEAK AND HIT HEAD ON SIDE OF AN AIR VENT EE HAS GOTTEN 4 STITCHES ON HIS RIGHT TEMPLE

Injury or illness

Lacerated Right Face struck against stationary obje AIR VENT

Object or substance involved

AIR VENT

Summary line

Lacerated Right Face struck against stationary obje AIR VENT

Employee and industry

Job description
STR MGMT ASST S
SOC code
41-1011 — First-Line Supervisors of Retail Sales Workers
NAICS code
445110 — Supermarkets and Other Grocery Except Convenience Stores
NAICS vintage
2022
Avg employees
126
Total hours worked
152304
EIN
390854535
Establishment ID
966292
Employer case #
860235

When (timing detail)

Date of incident
Shift started
12:01:00.000
Time of incident
14:30:00.000
Filing year
2023
Submitted
28FEB24:20:55:00

More injuries at 534-00378

View 534-00378's full OSHA safety record →

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.