SUN PRAIRIE, WI —
OSHA Injury Report: 534-00130
Injury · Other recordable case
At a glance
On , an injury at 534-00130 in SUN PRAIRIE, WI 53590 resulted in other recordable case. Employee was produce Dept M in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00130
- Parent company
- Roundy's
- Street
- 640 E Main St
- City
- SUN PRAIRIE
- State
- WI
- ZIP
- 53590
- On-site location
- BEHIND STORE OUTSIDE RECEIVING DOOR
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
PUSHING [REDACTED] STACK AGAINST BUILDING
What happened
STACKING AND TACKING PALLETS OUTSIDE WHILE STACKING EE SLIPPED AND FELL ON THE ICE LEFT KNEE INJURED
Injury or illness
Strained Left Upper leg Fall on ice orsnow ICEY or SLIPPERY GROUND
Object or substance involved
ICEY SLIPPERY GROUND
Summary line
Strained Left Upper leg Fall on ice or snow ICEY or SLIPPERY GROUND
Employee and industry
- Job description
- Produce Dept M
- SOC code
- 53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 137
- Total hours worked
- 121021
- EIN
- 390854535
- Establishment ID
- 966261
- Employer case #
- 848789
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 8:00:00.000
- 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.