Two Rivers, WI —
OSHA Injury Report: 534-00408
Injury · Days away from work
At a glance
On , an injury at 534-00408 in Two Rivers, WI 54241 resulted in days away from work. Employee was e COMMERCE DEPA in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00408
- Parent company
- Roundy's
- Street
- 1010 22nd St
- City
- Two Rivers
- State
- WI
- ZIP
- 54241
- On-site location
- PARKING LOT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 26
- Days restricted or transferred
- 4
Before the incident
WALKING AND SLIPPED
What happened
EE WAS ENTERING STORE TO START SHIFT SLIPPED AND FELL ON ICE IN PARKING LOT HIT BACK OF HEAD EE DIAGNOSED WITH CONCUSSION
Injury or illness
Concussion Posterior Face Fall on ice orsnow ICEY GROUND
Object or substance involved
ICEY GROUND
Summary line
Concussion Posterior Face Fall on ice or snow ICEY GROUND
Employee and industry
- Job description
- e COMMERCE DEPA
- 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
- 89
- Total hours worked
- 96759
- EIN
- 390854535
- Establishment ID
- 966314
- Employer case #
- 865122
When (timing detail)
- Date of incident
- Shift started
- 9:00:00.000
- Time of incident
- 8:55:00.000
- 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.