Plover, WI —
OSHA Injury Report: 534-00101
Injury · Days away from work
At a glance
On , an injury at 534-00101 in 1850 Plover Rd, Plover, WI 54467 resulted in days away from work. Employee was cashiers in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00101
- Parent company
- Roundy's
- Street
- 1850 Plover Rd
- City
- Plover
- State
- WI
- ZIP
- 54467
- On-site location
- FRONT END AT USCAN
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 25
Before the incident
WALKING TO ASSIST CUSTOMER AT USCAN
What happened
EE was attending self checkout lane and a cm in mobility cart had clothes hanigng off side and she slipped and fell twisting her left knee Pain to left knee
Injury or illness
Sprained Bilateral Knee Fall on same level FLOOR
Object or substance involved
FLOOR
Summary line
Sprained Bilateral Knee Fall on same level 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
- 172
- Total hours worked
- 170636
- EIN
- 390854535
- Establishment ID
- 966250
- Employer case #
- 850875
When (timing detail)
- Date of incident
- Shift started
- 9:00:00.000
- Time of incident
- 14:11:00.000
- Filing year
- 2023
- Submitted
- 28FEB24:20:55:00
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View 534-00101's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.