Deforest, WI —
OSHA Injury Report: 534-00393
Injury · Days away from work
At a glance
On , an injury at 534-00393 in Deforest, WI 53532 resulted in days away from work. Employee was dELI CLERK 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
- DELI DEPT AT DELI CASE
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
Before the incident
SERVING A CUSTOMER
What happened
EE WAS WALKING TO SERVE A CUSTOMER A SALAD FROM THE DELI CASE EE LEANED INTO THE CASE A CUTTING BOARD FELL FROM THE HOOK AND STRUCK EE 'S LEFT GREAT TOEEE SUSTAINED A CONTUSION AND LACERATIONS TO THE LEFT GREAT TOE
Injury or illness
Bruised Left Great toe Struck by object cutting board
Object or substance involved
cutting board
Summary line
Bruised Left Great toe Struck by object cutting board
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
- 120
- Total hours worked
- 119914
- EIN
- 390854535
- Establishment ID
- 966304
- Employer case #
- 876753
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 15:00
- 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.