SUSSEX, WI —
OSHA Injury Report: 534-00380
Injury · Job transfer or restriction
At a glance
On , an injury at 534-00380 in SUSSEX, WI 53089 resulted in job transfer or restriction. Employee was dELI CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00380
- Parent company
- Roundy's
- Street
- N65W24838 Main St
- City
- SUSSEX
- State
- WI
- ZIP
- 53089
- On-site location
- DELI DEPARTMENT SALES FLOOR
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 13
Before the incident
STOCKING
What happened
The EE was stocking shelves when a heat lamp fell on his right forearm The EE sustained a burn to his right forearm
Injury or illness
Burn Right Lower arm Hot object Heat Lamp
Object or substance involved
Heat Lamp
Summary line
Burn Right Lower arm Hot object Heat Lamp
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
- 167
- Total hours worked
- 173082
- EIN
- 390854535
- Establishment ID
- 966294
- Employer case #
- 870328
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 10:30
- 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.