Kenosha, WI —
OSHA Injury Report: 534-00874
Injury · Days away from work
At a glance
On , an injury at 534-00874 in Kenosha, WI 53142 resulted in days away from work. Employee was cLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00874
- Parent company
- Roundy's
- Street
- 5710 75th St
- City
- Kenosha
- State
- WI
- ZIP
- 53142
- On-site location
- MEAT DEPT CUT ROOM
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 20
Before the incident
CLEANING CUT ROOM
What happened
EE WAS CLEANING CUT ROOM SLIPPED AND FELL CAUSE UNK LANDED ON BACK CONTUSION TO LOWER BACK
Injury or illness
Bruised Posterior Low back Fall floor
Object or substance involved
floor
Summary line
Bruised Posterior Low back Fall floor
Employee and industry
- Job description
- CLERK
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 116
- Total hours worked
- 161371
- EIN
- 390854535
- Establishment ID
- 966339
- Employer case #
- 882155
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 15:30
- 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.