MADISON, WI —
OSHA Injury Report: 534-00178
Injury · Other recordable case
At a glance
On , an injury at 534-00178 in MADISON, WI 53704 resulted in other recordable case. Employee was dELI CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00178
- Parent company
- Roundy's
- Street
- 2502 Shopko Dr
- City
- MADISON
- State
- WI
- ZIP
- 53704
- On-site location
- DELI PREP AREA
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WALKING OUT OF COOLER
What happened
EE SLIPPED AND FELL FROM GREASY AREA ON FLOOR WHILE WALKING OUT OF COOLER LT HIP RIBS AND LT LEG PAIN
Injury or illness
Bruised Left Hip Fall from liquid grease GREASY SLIPPERY FLOOR
Object or substance involved
GREASY SLIPPERY FLOOR
Summary line
Bruised Left Hip Fall from liquid grease GREASY 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
- 121
- Total hours worked
- 150991
- EIN
- 390854535
- Establishment ID
- 966265
- Employer case #
- 872814
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 16:30
- 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.