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 Clerks 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 PREP AREA
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
WALKING TO GET BAKING SPRAY
What happened
EE went to the back of the bakery to get a can of baking spray and she slipped on the wet floor and hit the back of her head and tailbone EE was transported to the hospital by ambulance EE missed two days of work following the incident
Injury or illness
Concussion Anterior Face Fall from liquid orgrease WET or SLIPPERY FLOOR
Object or substance involved
WET SLIPPERY FLOOR
Summary line
Concussion Anterior Face Fall from liquid or grease WET or SLIPPERY FLOOR
Employee and industry
- Job description
- Deli Clerks
- 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 #
- 857587
When (timing detail)
- Date of incident
- Shift started
- 7:30:00.000
- Time of incident
- 12:30:00.000
- 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.