Waupaca, WI —
OSHA Injury Report: 534-00352
Injury · Days away from work
At a glance
On , an injury at 534-00352 in Waupaca, WI 54981 resulted in days away from work. Employee was dELICLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00352
- Parent company
- Roundy's
- Street
- 955 W Fulton St
- City
- Waupaca
- State
- WI
- ZIP
- 54981
- On-site location
- DELI DEPARTMENT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 10
Before the incident
WALKING
What happened
EE WAS GOING TO TEMP SOMETHING SLIPPED AND FELL STRAIN TO LEFT HAND AND RIGHT ANKLE AND KNEE
Injury or illness
Inflamed Right Ankle Fall slippery floor
Object or substance involved
slippery floor
Summary line
EE WAS GOING TO TEMP SOMETHING SLIPPED AND FELL STRAIN TO LEFT HAND AND RIGHT ANKLE AND KNEE
Employee and industry
- Job description
- DELICLERK
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 121
- Total hours worked
- 163347
- EIN
- 390854535
- Establishment ID
- 966281
- Employer case #
- 888894
When (timing detail)
- Date of incident
- Shift started
- 11:00
- Time of incident
- 14:00
- 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.