Madison, WI —
OSHA Injury Report: 534-00434
Injury · Days away from work
At a glance
On , an injury at 534-00434 in Madison, WI 53718 resulted in days away from work. Employee was bAKERY CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00434
- Parent company
- Roundy's
- Street
- 6010 Cottage Grove Rd
- City
- Madison
- State
- WI
- ZIP
- 53718
- On-site location
- BAKERY DEPT AT SWEET SHOP
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
MAKING [REDACTED]
What happened
EE WAS CHECKING ON THE POPCORN MIXER SHE BACKED UP AND TRIPPED OVER A STEP STOOL AND FELL BACKWARDS AND HIT HER HEAD ON A TABLE INJURIES LACERATION TO THE BACK OF THE HEAD
Injury or illness
Lacerated Posterior Face Fall on same level CORNER OF TABLE
Object or substance involved
CORNER OF TABLE
Summary line
Lacerated Posterior Face Fall on same level CORNER OF TABLE
Employee and industry
- Job description
- BAKERY CLERK
- SOC code
- 51-3011 — Bakers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 174
- Total hours worked
- 176799
- EIN
- 390854535
- Establishment ID
- 966326
- Employer case #
- 850761
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- 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.