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Safety Incidents OSHA Severe Injury Reports · 2015–2025

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 dAIRY CLERK in supermarkets and Other Grocery Except Convenience Stores.

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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
DAIRY COOLER

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
15
Days restricted or transferred
6

Before the incident

BREAKING DOWN MILK PALLET

What happened

EE was moving milk crate to stock the milk When EE twisted while holding milk crate and felt or heard a pop in his left upper back and then felt pain Per Dr injury is a torn muscle in his back

Injury or illness

Strained Posterior Upper back Lifting FULL CRATE OF MILK

Object or substance involved

FULL CRATE OF MILK

Summary line

Strained Posterior Upper back Lifting FULL CRATE OF MILK

Employee and industry

Job description
DAIRY CLERK
SOC code
53-7065 — Stockers and Order Fillers
NAICS code
445110 — Supermarkets and Other Grocery Except Convenience Stores
NAICS vintage
2022
Avg employees
114
Total hours worked
106862
EIN
390854535
Establishment ID
966304
Employer case #
857213

When (timing detail)

Date of incident
Shift started
14:00:00.000
Time of incident
15:00:00.000
Filing year
2023
Submitted
28FEB24:20:55:00

More injuries at 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 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.