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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 534-00121

Injury · Days away from work

On , an injury at 534-00121 in 900 E Riverview Expy, Wisconsin Rapids, WI 54494 resulted in days away from work. Employee was deli Clerks in supermarkets and Other Grocery Except Convenience Stores.

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Establishment
534-00121
Parent company
Roundy's
Street
900 E Riverview Expy
City
Wisconsin Rapids
State
WI
ZIP
54494
On-site location
BAKERY PREP AREA
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
1

WALKING TO GET BAKING SPRAY

EE went to the back of the bakery to get a can of baking spray and she slipped on the wet floor and hit the back of her head and tailbone EE was transported to the hospital by ambulance EE missed two days of work following the incident

Concussion Anterior Face Fall from liquid orgrease WET or SLIPPERY FLOOR

WET SLIPPERY FLOOR

Concussion Anterior Face Fall from liquid or grease WET or SLIPPERY FLOOR

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
123
Total hours worked
147530
EIN
390854535
Establishment ID
966256
Employer case #
857587
Date of incident
Shift started
7:30:00.000
Time of incident
12:30:00.000
Filing year
2023
Submitted
28FEB24:20:55:00

534-00121

534-00121

534-00121

534-00121

534-00121

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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.