Appleton, WI —
OSHA Injury Report: 534-00403
Injury · Other recordable case
At a glance
On , an injury at 534-00403 in Appleton, WI 54915 resulted in other recordable case. Employee was fRONT END CASHI in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00403
- Parent company
- Roundy's
- Street
- N135 Stoney Brook Rd
- City
- Appleton
- State
- WI
- ZIP
- 54915
- On-site location
- PARKING LOT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
GETTING OUT OF CAR
What happened
EE GETTING OUT OF CAR SLIPPED AND FELL ON ICE HIT BACK OF HEAD BRUISING TO BACK OF HEAD PAIN TO BOTH WRIST BIT TONGUE
Injury or illness
Bruised Posterior Face Fall on ice snow ICEY SLIPPERY GROUND
Object or substance involved
ICEY SLIPPERY GROUND
Summary line
EE GETTING OUT OF CAR SLIPPED AND FELL ON ICE HIT BACK OF HEAD BRUISING TO BACK OF HEAD PAIN TO
Employee and industry
- Job description
- FRONT END CASHI
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 100
- Total hours worked
- 122137
- EIN
- 390854535
- Establishment ID
- 966309
- Employer case #
- 887514
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 9:50
- 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.