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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Fort Atkinson, WI —

OSHA Injury Report: 534-00396

Injury · Job transfer or restriction

At a glance

On , an injury at 534-00396 in 1505 Madison Ave, Fort Atkinson, WI 53538 resulted in job transfer or restriction. Employee was bakery Dept Mg in supermarkets and Other Grocery Except Convenience Stores.

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Where did this happen?

Establishment
534-00396
Parent company
Roundy's
Street
1505 Madison Ave
City
Fort Atkinson
State
WI
ZIP
53538
On-site location
BAKERY FREEZER

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
14

Before the incident

BENDING OVER GETTING PRODUCT OUT OF BOX

What happened

The ee was in the freezer and bent over to get an item out of the box and took the item into the bakery The ees right upper leg going into the back had pain It was hard to walk on the leg There was a possible strain to the knee per the doctor

Injury or illness

Sprained Right Knee Strained SELF

Object or substance involved

SELF

Summary line

Sprained Right Knee Strained SELF

Employee and industry

Job description
Bakery Dept Mg
SOC code
9999 — Uncoded
NAICS code
445110 — Supermarkets and Other Grocery Except Convenience Stores
NAICS vintage
2022
Avg employees
128
Total hours worked
116524
EIN
390854535
Establishment ID
966306
Employer case #
864196

When (timing detail)

Date of incident
Shift started
3:00:00.000
Time of incident
5:00:00.000
Filing year
2023
Submitted
28FEB24:20:55:00

More injuries at 534-00396

View 534-00396'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.