Appleton, WI —
OSHA Injury Report: 534-00403
Injury · Days away from work
At a glance
On , an injury at 534-00403 in Appleton, WI 54915 resulted in days away from work. Employee was pRODUCE ASST DE 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
- PRODUCE DEPT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 104
Before the incident
KNEELING AND KNEE BUCKLES
What happened
EE WAS KNEELING KNEE BUCKLED AND EE FELL SPRAINED MCL IN RIGHT LEG
Injury or illness
Sprained Right Knee Fall floor
Object or substance involved
floor
Summary line
EE WAS KNEELING KNEE BUCKLED AND EE FELL SPRAINED MCL IN RIGHT LEG
Employee and industry
- Job description
- PRODUCE ASST DE
- SOC code
- 53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
- 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 #
- 893307
When (timing detail)
- Date of incident
- Shift started
- 5:00
- Time of incident
- 8:00
- 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.