STOUGHTON, WI —
OSHA Injury Report: 534-00390
Injury · Days away from work
At a glance
On , an injury at 534-00390 in STOUGHTON, WI 53589 resulted in days away from work. Employee was sTR MGMT ASST S in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00390
- Parent company
- Roundy's
- Street
- 1750 US Highway 51
- City
- STOUGHTON
- State
- WI
- ZIP
- 53589
- On-site location
- OUTSIDE EMPLOYEE PARKING LOT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 15
- Days restricted or transferred
- 27
Before the incident
WALKING TO CAR
What happened
EE slipped and fall on ice left side hitting left hip shoulder and hit his head on the ground
Injury or illness
Bruised Left Chest Fall on ice snow icey ground
Object or substance involved
icey ground
Summary line
EE slipped and fall on ice left side hitting left hip shoulder and hit his head on the ground
Employee and industry
- Job description
- STR MGMT ASST S
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 100
- Total hours worked
- 121038
- EIN
- 390854535
- Establishment ID
- 966302
- Employer case #
- 886332
When (timing detail)
- Date of incident
- Shift started
- 12:01
- Time of incident
- 21:30
- 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.