Wales, WI —
OSHA Injury Report: 534-00386
Injury · Days away from work
At a glance
On , an injury at 534-00386 in Wales, WI 53183 resulted in days away from work. Employee was drug GM Dept C in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00386
- Parent company
- Roundy's
- Street
- 405 N Wales Rd
- City
- Wales
- State
- WI
- ZIP
- 53183
- On-site location
- GROCERY SALES FLOOR AISLE 12
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 69
- Days restricted or transferred
- 21
Before the incident
USING STEP STOOL TO FILL TOP STOCK
What happened
EE was standing on a step ladder and the middle piece gave out and broke and EE fell jamming and injuring her right knee EE sought TX on [REDACTED] or [REDACTED] or [REDACTED] and given restrictions of no lifting over 10 pounds no kneels no use of stairs and ladders
Injury or illness
Rupture Right Knee Fall from different level FLOOR
Object or substance involved
FLOOR
Summary line
Rupture Right Knee Fall from different level FLOOR
Employee and industry
- Job description
- Drug GM Dept C
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 110
- Total hours worked
- 123826
- EIN
- 390854535
- Establishment ID
- 966298
- Employer case #
- 861867
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 6:30:00.000
- 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.