Fond du Lac, WI —
OSHA Injury Report: 534-00472
Injury · Job transfer or restriction
At a glance
On , an injury at 534-00472 in Fond du Lac, WI 54935 resulted in job transfer or restriction. Employee was cashiers in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00472
- Parent company
- Roundy's
- Street
- 55 W Pioneer Rd
- City
- Fond du Lac
- State
- WI
- ZIP
- 54935
- On-site location
- LIQUOR DEPARTMENT AISLE
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 50
Before the incident
MOVING CARTS
What happened
EE WAS MOVING CARTS IN LIQUOR DEPT AND TRIPPED AND FELL CONTUSIONS TO BILATERAL KNEES LT HANDS LT PALM LT RING FINGER AND LT ELBOW
Injury or illness
Bruised Left Knee Fall FLOOR
Object or substance involved
FLOOR
Summary line
Bruised Left Knee Fall FLOOR
Employee and industry
- Job description
- Cashiers
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 131
- Total hours worked
- 142510
- EIN
- 390854535
- Establishment ID
- 966327
- Employer case #
- 851971
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 8:00:00.000
- 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.