Plover, WI —
OSHA Injury Report: 534-00101
Injury · Days away from work
At a glance
On , an injury at 534-00101 in Plover, WI 54467 resulted in days away from work. Employee was dELI CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00101
- Parent company
- Roundy's
- Street
- 1850 Plover Rd
- City
- Plover
- State
- WI
- ZIP
- 54467
- On-site location
- DELI DEPT NEAR COOLER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 55
- Days restricted or transferred
- 80
Before the incident
WALKING THROUGH DOOR
What happened
EE WALKED THROUGH DOOR TO GO TO DELI COOLER STEPPED ON WATERSOAP FROM MOPPING SLIPPED AND FELL RESULTING IN PAIN IN UNSPECIFIED KNEE AND BACK
Injury or illness
Strained Bilateral Low back Fall from liquid grease soapy slippery floor
Object or substance involved
soapy slippery floor
Summary line
Strained Bilateral Low back Fall from liquid grease soapy slippery floor
Employee and industry
- Job description
- DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 155
- Total hours worked
- 175109
- EIN
- 390854535
- Establishment ID
- 966250
- Employer case #
- 875492
When (timing detail)
- Date of incident
- Shift started
- 9:00
- Time of incident
- 11:00
- Filing year
- 2024
- Submitted
- 26FEB2025:20:58:00
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.