Madison, WI —
OSHA Injury Report: 534-00131
Injury · Days away from work
At a glance
On , an injury at 534-00131 in Madison, WI 53719 resulted in days away from work. Employee was dELI CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00131
- Parent company
- Roundy's
- Street
- 6655 McKee Rd
- City
- Madison
- State
- WI
- ZIP
- 53719
- On-site location
- DELI PREP ROOM BY SINK
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 79
Before the incident
PUTTING CHICKEN TRAYS INTO SINK
What happened
While placing chicken onto trays at the sink area EE slipped and fell She landed on her buttocks and attempted to catch herself resulting in impact to her left elbow
Injury or illness
Dislocated Left Elbow Fall from liquid grease WET SLIPPERY FLOOR
Object or substance involved
WET SLIPPERY FLOOR
Summary line
While placing chicken onto trays at the sink area EE slipped and fell She landed on her buttocks a
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
- 100
- Total hours worked
- 122806
- EIN
- 390854535
- Establishment ID
- 966262
- Employer case #
- 906608
When (timing detail)
- Date of incident
- Shift started
- 7:30
- Time of incident
- 10:15
- Filing year
- 2025
- Submitted
- 17FEB26:14:50:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.