Wisconsin Rapids, WI —
OSHA Injury Report: 534-00121
Injury · Days away from work
At a glance
On , an injury at 534-00121 in Wisconsin Rapids, WI 54494 resulted in days away from work. Employee was dELI CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00121
- Parent company
- Roundy's
- Street
- 900 E Riverview Expy
- City
- Wisconsin Rapids
- State
- WI
- ZIP
- 54494
- On-site location
- DELI KITCHEN NEAR SINK
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 92
- Days restricted or transferred
- 15
Before the incident
GETTING A PAN FROM THE SINK
What happened
The EE was walking towards a sink to get a pan when she slipped in a puddle of water and fell onto the floor The EE landed on her left knee and left elbow The EE suffered pain with swelling in both her left knee and left elbow The EE also suffe
Injury or illness
Multiple injuries Left Knee Fall from liquid orgrease WET or SLIPPERY FLOOR
Object or substance involved
WET SLIPPERY FLOOR
Summary line
Multiple injuries Left Knee Fall from liquid or grease WET or SLIPPERY FLOOR
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
- 2022
- Avg employees
- 123
- Total hours worked
- 147530
- EIN
- 390854535
- Establishment ID
- 966256
- Employer case #
- 853911
When (timing detail)
- Date of incident
- Shift started
- 15:00:00.000
- Time of incident
- 20:15:00.000
- 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.