Fort Atkinson, WI —
OSHA Injury Report: 534-00396
Injury · Job transfer or restriction
At a glance
On , an injury at 534-00396 in Fort Atkinson, WI 53538 resulted in job transfer or restriction. Employee was dELI CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00396
- Parent company
- Roundy's
- Street
- 1505 Madison Ave
- City
- Fort Atkinson
- State
- WI
- ZIP
- 53538
- On-site location
- DELI DEPT PREP ROOM
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 2
Before the incident
WALKING INTO DELI DEPT PREP ROOM
What happened
EE went into kitchen to ask question EE did not see wet floor sign EE slip on wet ground ee slip with left foot and landed on the right knee Contusion to right knee per incident report [REDACTED] she had injured same knee
Injury or illness
Bruised Right Knee Fall from liquid orgrease WET FLOOR
Object or substance involved
WET FLOOR
Summary line
Bruised Right Knee Fall from liquid or grease WET FLOOR
Employee and industry
- Job description
- DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 128
- Total hours worked
- 116524
- EIN
- 390854535
- Establishment ID
- 966306
- Employer case #
- 847531
When (timing detail)
- Date of incident
- Shift started
- 12:01:00.000
- 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.