Deforest, WI —
OSHA Injury Report: 534-00393
Injury · Job transfer or restriction
At a glance
On , an injury at 534-00393 in Deforest, WI 53532 resulted in job transfer or restriction. Employee was cashiers in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00393
- Parent company
- Roundy's
- Street
- 621 S Main St
- City
- Deforest
- State
- WI
- ZIP
- 53532
- On-site location
- FRONT END ENTRANCE
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 12
Before the incident
CLEANING UP WATER ON FLOOR
What happened
EE SHE WAS CLEANING UP WATER ON THE FLOOR EE SLIPPED ON THE RUG BECAUSE THER WAS WATER UNDERNEATH IT EE FELL DOWN ON HER LEFT SIDE INJURING HER ARM WRIST AND SHOULDER
Injury or illness
Multiple injuries Left Shoulder Fall from liquid grease wet slippery floor
Object or substance involved
wet slippery floor
Summary line
Multiple injuries Left Shoulder Fall from liquid grease wet slippery floor
Employee and industry
- Job description
- Cashiers
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 120
- Total hours worked
- 119914
- EIN
- 390854535
- Establishment ID
- 966304
- Employer case #
- 874835
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 11:30
- 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.