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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Bellevue, WI —

OSHA Injury Report: 534-00111

Injury · Days away from work

At a glance

On , an injury at 534-00111 in 2064 Lime Kiln Rd, Bellevue, WI 54311 resulted in days away from work. Employee was pRODUCE CLERK in supermarkets and Other Grocery Except Convenience Stores.

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Where did this happen?

Establishment
534-00111
Parent company
Roundy's
Street
2064 Lime Kiln Rd
City
Bellevue
State
WI
ZIP
54311
On-site location
PRODUCE COOLER

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
11
Days restricted or transferred
9

Before the incident

CARRYING A BOX TO CART

What happened

EE WAS CARRYING A BOX FROM ONE OF THE PALLETS TO THE RACKING THEIR WAS A VINYL STRAP ON THE GROUND AND GOT TANGLED WHICH CAUSED HIM TO FALL ON HIS RT KNEE INJURIES RT KNEE IS IN PAIN

Injury or illness

Sprained Right Knee Fall on same level FLOOR

Object or substance involved

FLOOR

Summary line

Sprained Right Knee Fall on same level FLOOR

Employee and industry

Job description
PRODUCE CLERK
SOC code
53-7065 — Stockers and Order Fillers
NAICS code
445110 — Supermarkets and Other Grocery Except Convenience Stores
NAICS vintage
2022
Avg employees
151
Total hours worked
156463
EIN
390854535
Establishment ID
966253
Employer case #
855212

When (timing detail)

Date of incident
Shift started
7:00:00.000
Time of incident
10:15:00.000
Filing year
2023
Submitted
28FEB24:20:55:00

More injuries at 534-00111

View 534-00111'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.