Madison, WI —
OSHA Injury Report: WI-MADIS01 &02
Injury · Days away from work
At a glance
On , an injury at WI-MADIS01 &02 in Madison, WI 53719 resulted in days away from work. Employee was uS Sales Associate Store FT in supermarkets and Other Grocery Retailers except Convenience Retailers.
Where did this happen?
- Establishment
- WI-MADIS01 &02
- Parent company
- Gordon Food Service Store LLC WI-MADIS01 &02
- Street
- 406 Grand Canyon Drive
- City
- Madison
- State
- WI
- ZIP
- 53719
- On-site location
- delivery location
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 5
- Days restricted or transferred
- 180
Before the incident
EE states she was walking near freezer section
What happened
EE states she was just outside of the door near freezer section when EE slipped on a puddle of water and fell landing on her back. EE denies hitting her head.
Injury or illness
Contusion bruise
Object or substance involved
concrete floor
Summary line
EE states she was just outside of the door near freezer section when EE slipped on a puddle of water and fell landing on her back. EE denies hitting her head.
Employee and industry
- Job description
- US Sales Associate Store FT
- SOC code
- 41-2031 — Retail Salespersons
- NAICS code
- 445110 — Supermarkets and Other Grocery Retailers except Convenience Retailers
- NAICS vintage
- 2022
- Avg employees
- 33
- Total hours worked
- 30192
- EIN
- 161675916
- Establishment ID
- 1501331
- Employer case #
- 25715
When (timing detail)
- Date of incident
- Shift started
- 0:00
- Time of incident
- 8:30
- Filing year
- 2025
- Submitted
- 01MAR26:19:29:00
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.