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Safety Incidents OSHA Severe Injury Reports · 2015–2025

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 CLERK in supermarkets and Other Grocery Except Convenience Stores.

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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
BACKROOM DELI

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
169

Before the incident

WORKING IN DELI AND TURNED AROUND

What happened

EE was turned around in the back room deli when she backed into a deli table fell over the deli dept table and landed on her right shoulder

Injury or illness

Fracture Right Shoulder Fall deli department table

Object or substance involved

deli department table

Summary line

Fracture Right Shoulder Fall deli department table

Employee and industry

Job description
DELI CLERK
SOC code
35-3023 — Fast Food and Counter 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 #
877502

When (timing detail)

Date of incident
Shift started
6:00
Time of incident
14:15
Filing year
2024
Submitted
26FEB2025:20:58:00

More injuries at 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.