WATERFORD, WI —
OSHA Injury Report: 534-00410
Injury · Days away from work
At a glance
On , an injury at 534-00410 in WATERFORD, WI 53185 resulted in days away from work. Employee was dELI CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00410
- Parent company
- Roundy's
- Street
- 515 N Milwaukee St
- City
- WATERFORD
- State
- WI
- ZIP
- 53185
- On-site location
- DELI WALK IN COOLER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 16
Before the incident
WALKING INTO COOLER
What happened
The EE was walking into the cooler while carrying a pan of rotisserie chicken The EE did not see a nearby U Boat and she tripped on it and fell onto the floor The EE dropped the pan of chicken The EE suffered pain in her left ankle No first
Injury or illness
Sprained Left Ankle Fall U Boat
Object or substance involved
U Boat
Summary line
The EE was walking into the cooler while carrying a pan of rotisserie chicken The EE did not see 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
- 118083
- EIN
- 390854535
- Establishment ID
- 966315
- Employer case #
- 896337
When (timing detail)
- Date of incident
- Shift started
- 13:00
- Time of incident
- 20:00
- 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.