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 bAKERY BAKER 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
- BAKERY DEPT AT WORK STATION
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 151
Before the incident
WALKING TO SINK
What happened
ee was cleaning work station in bakery area and turned to dump a bucket of water into the sink and ee slipped before getting to the sink and fell to the ground ee sustained injury to right elbow ee was provided a sling by providers provider stated
Injury or illness
Fracture Right Elbow Fall from liquid orgrease WATER orFLOOR SURFACES
Object or substance involved
WATER FLOOR SURFACES
Summary line
Fracture Right Elbow Fall from liquid or grease WATER or FLOOR SURFACES
Employee and industry
- Job description
- BAKERY BAKER
- SOC code
- 51-3011 — Bakers
- 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 #
- 856303
When (timing detail)
- Date of incident
- Shift started
- 22:00:00.000
- Time of incident
- 4:30:00.000
- 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.