Monona, WI —
OSHA Injury Report: 534-00181
Injury · Days away from work
At a glance
On , an injury at 534-00181 in Monona, WI 53716 resulted in days away from work. Employee was grocery Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00181
- Parent company
- Roundy's
- Street
- 6540 Monona Dr
- City
- Monona
- State
- WI
- ZIP
- 53716
- On-site location
- DELI BACK ROOM
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 16
Before the incident
WALKING TO DELI BACKROOM
What happened
EE WAS WALKING BACK FROM BACK ROOM THERE WAS WATER ON THE DELI FLOOR HER FEET WENT OUT FROM UNDER HER AND SHE FELL ON HER RIGHT ELBOW RIGHT ARM IS SORE VERY PAINFUL TO MOVE
Injury or illness
Fracture Right Elbow Fall from liquid orgrease WET FLOOR
Object or substance involved
WET FLOOR
Summary line
Fracture Right Elbow Fall from liquid or grease WET FLOOR
Employee and industry
- Job description
- Grocery Clerks
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 124
- Total hours worked
- 136711
- EIN
- 390854535
- Establishment ID
- 966268
- Employer case #
- 847387
When (timing detail)
- Date of incident
- Shift started
- 14:00:00.000
- Time of incident
- 19:45:00.000
- 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.