Bellevue, WI —
OSHA Injury Report: 534-00111
Injury · Days away from work
At a glance
On , an injury at 534-00111 in Bellevue, WI 54311 resulted in days away from work. Employee was pRODUCE CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00111
- Parent company
- Roundy's
- Street
- 2064 Lime Kiln Rd
- City
- Bellevue
- State
- WI
- ZIP
- 54311
- On-site location
- PRODUCE COOLER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 11
- Days restricted or transferred
- 9
Before the incident
CARRYING A BOX TO CART
What happened
EE WAS CARRYING A BOX FROM ONE OF THE PALLETS TO THE RACKING THEIR WAS A VINYL STRAP ON THE GROUND AND GOT TANGLED WHICH CAUSED HIM TO FALL ON HIS RT KNEE INJURIES RT KNEE IS IN PAIN
Injury or illness
Sprained Right Knee Fall on same level FLOOR
Object or substance involved
FLOOR
Summary line
Sprained Right Knee Fall on same level FLOOR
Employee and industry
- Job description
- PRODUCE CLERK
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 151
- Total hours worked
- 156463
- EIN
- 390854535
- Establishment ID
- 966253
- Employer case #
- 855212
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 10:15:00.000
- Submitted
- 28FEB24:20:55:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.