WATERFORD, WI —
OSHA Injury Report: 534-00410
Respiratory condition · Days away from work
At a glance
On , a respiratory condition at 534-00410 in WATERFORD, WI 53185 resulted in days away from work. Employee was gROCERY CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00410
- Parent company
- Roundy's
- Street
- 515 N Milwaukee St
- City
- WATERFORD
- State
- WI
- ZIP
- 53185
- On-site location
- Grocery
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Respiratory condition (code 3)
- Days away from work
- 5
Before the incident
Performing job duties
What happened
EE is alleging contracing COVID 19 while at work
Injury or illness
COVID 19 Lungs Pandemic COVID 19
Object or substance involved
Covid-19
Summary line
COVID 19 Lungs Pandemic COVID 19
Employee and industry
- Job description
- GROCERY CLERK
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 126
- Total hours worked
- 126497
- EIN
- 390854535
- Establishment ID
- 966315
- Employer case #
- 24_210678
When (timing detail)
- Date of incident
- 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.