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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Bellevue, WI —

OSHA Injury Report: 534-00111

Injury · Other recordable case

At a glance

On , an injury at 534-00111 in 2064 Lime Kiln Rd, Bellevue, WI 54311 resulted in other recordable case. Employee was deli Clerks 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
DELI DEPT BEHIND SERVICE COUNTER

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

WALKING FROM SOUP BAR TO DELI

What happened

EE WAS WALKING BEHIND THE SERVICE DELI CASE TRIPPED AND FELL AND HIT HER RIGHT SIDE OF HER [REDACTED] INJURIES RIGHT [REDACTED] IS IN PAIN AND BRUISED AS WELL AS THE RIGHT KNEE EE TRIPPED OVER HER OWN FEET

Injury or illness

Bruised Right Elbow Fall on same level FLOOR

Object or substance involved

FLOOR

Summary line

Bruised Right Elbow Fall on same level FLOOR

Employee and industry

Job description
Deli Clerks
SOC code
35-3023 — Fast Food and Counter Workers
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 #
850324

When (timing detail)

Date of incident
Shift started
14:00:00.000
Time of incident
17:00:00.000
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.