Madison, WI —
OSHA Injury Report: 534-00434
Injury · Days away from work
At a glance
On , an injury at 534-00434 in Madison, WI 53718 resulted in days away from work. Employee was clicklist Clerk in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00434
- Parent company
- Roundy's
- Street
- 6010 Cottage Grove Rd
- City
- Madison
- State
- WI
- ZIP
- 53718
- On-site location
- CLICKLIST DEPARTMENT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
GETTING BOTTLE OF WATER AND TRIPPED
What happened
EE WAS TRYING TO GET A BOTTLE OF WATER AND WHEN SHE TURN AROUND TRIPPED AND FELL OVER BAGGS ON THE FLOOR AND HURT HER RIGHT ARM
Injury or illness
Fracture Right Upper arm Fall floor
Object or substance involved
floor
Summary line
Fracture Right Upper arm Fall floor
Employee and industry
- Job description
- Clicklist Clerk
- SOC code
- 53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 175
- Total hours worked
- 211595
- EIN
- 390854535
- Establishment ID
- 966326
- Employer case #
- 873500
When (timing detail)
- Date of incident
- Shift started
- 1:30
- Time of incident
- 2:45
- 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.