Pewaukee, WI —
OSHA Injury Report: 534-00374
Injury · Days away from work
At a glance
On , an injury at 534-00374 in Pewaukee, WI 53072 resulted in days away from work. Employee was deli Dept Mgr in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00374
- Parent company
- Roundy's
- Street
- 1405 Capitol Dr
- City
- Pewaukee
- State
- WI
- ZIP
- 53072
- On-site location
- DELI DEPT NEAR SINKS
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 87
- Days restricted or transferred
- 26
Before the incident
WASHING DISHES
What happened
EE WAS WASHING DISHES IN THE DELI WHEN SHE SLIPPED ON WATER THAT WAS ON THE FLOOR INJURING HER RIGHT KNEE
Injury or illness
Fracture Right Knee Fall from liquid orgrease WET SLILPPERY FLOOR
Object or substance involved
WET SLILPPERY FLOOR
Summary line
Fracture Right Knee Fall from liquid or grease WET SLILPPERY FLOOR
Employee and industry
- Job description
- Deli Dept Mgr
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 114
- Total hours worked
- 123059
- EIN
- 390854535
- Establishment ID
- 966290
- Employer case #
- 850840
When (timing detail)
- Date of incident
- Shift started
- 10:00:00.000
- Time of incident
- 14:30:00.000
- 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.