BROOKFIELD, WI —
OSHA Injury Report: 534-00397
Injury · Other recordable case
At a glance
On , an injury at 534-00397 in 15170 W Greenfield Ave, BROOKFIELD, WI 53005 resulted in other recordable case. Employee was drug GM Dept C in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00397
- Parent company
- Roundy's
- Street
- 15170 W Greenfield Ave
- City
- BROOKFIELD
- State
- WI
- ZIP
- 53005
- On-site location
- RECEIVING AREA OF BACK ROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
MOVING PRODUCT
What happened
EE WAS STANDING ON FLOOR TAKING PRODUCT FROM PALLET TO CART EE TURNED AND THERE WAS A PIECE OF WOOD STICKING OUT OF THE PALLET CAUSING HER TO FELL BACKWARDS HITTING HER HEAD RESULTING IN KNOT ON BACK OF HEAD AND BACK PAINS
Injury or illness
Bruised Posterior Face Fall FLOOR
Object or substance involved
FLOOR
Summary line
Bruised Posterior Face Fall FLOOR
Employee and industry
- Job description
- Drug GM Dept C
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 128
- Total hours worked
- 128291
- EIN
- 390854535
- Establishment ID
- 966307
- Employer case #
- 863768
When (timing detail)
- Date of incident
- Shift started
- 7:30:00.000
- Time of incident
- 15:10:00.000
- Filing year
- 2023
- Submitted
- 28FEB24:20:55:00
More injuries at 534-00397
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BROOKFIELD, WI—
534-00397
BROOKFIELD, WI—
534-00397
BROOKFIELD, WI—
534-00397
View 534-00397'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.