Milwaukee, WI —
OSHA Injury Report: 534-00879
Injury · Days away from work
At a glance
On , an injury at 534-00879 in Milwaukee, WI 53210 resulted in days away from work. Employee was fLORAL DEPT LEA in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00879
- Parent company
- Roundy's
- Street
- 2355 N 35th St
- City
- Milwaukee
- State
- WI
- ZIP
- 53210
- On-site location
- FLORAL SALES FLOOR
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 121
Before the incident
WALKING
What happened
ER states EE was walking in front of floral case and slipped and fell on water or soak pad that caused the fall EE sustained a contusion to head left knee and left shoulder EMS was called and given an ice pack
Injury or illness
Concussion Posterior Face Fall from liquid orgrease WET or SLIPPERY FLOOR
Object or substance involved
WET SLIPPERY FLOOR
Summary line
Concussion Posterior Face Fall from liquid or grease WET or SLIPPERY FLOOR
Employee and industry
- Job description
- FLORAL DEPT LEA
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 102
- Total hours worked
- 123046
- EIN
- 390854535
- Establishment ID
- 966343
- Employer case #
- 862108
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 14:00:00.000
- 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.