Fond du Lac, WI —
OSHA Injury Report: 534-00472
Injury · Days away from work
At a glance
On , an injury at 534-00472 in 55 W Pioneer Rd, Fond du Lac, WI 54935 resulted in days away from work. Employee was dELI ASST LEADER 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
- DELI DEPT KITCHEN AREA
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 15
Before the incident
WALKING AND SLIPPED
What happened
Turned corner in kitchen area and went down and landed on bottom Injuries pain and bruising on ribs
Injury or illness
Bruised Posterior Buttocks Fall floor
Object or substance involved
floor
Summary line
Bruised Posterior Buttocks Fall floor
Employee and industry
- Job description
- DELI ASST LEADER
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 122
- Total hours worked
- 153119
- EIN
- 390854535
- Establishment ID
- 966327
- Employer case #
- 874363
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 8:30
- Filing year
- 2024
- Submitted
- 26FEB2025:20:58:00
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Fond du Lac, WI—
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Fond du Lac, WI—
534-00472
View 534-00472's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.