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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Pewaukee, WI —

OSHA Injury Report: 534-00374

Injury · Days away from work

At a glance

On , an injury at 534-00374 in 1405 Capitol Dr, Pewaukee, WI 53072 resulted in days away from work. Employee was deli Dept Mgr in supermarkets and Other Grocery Except Convenience Stores.

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Where did this happen?

Establishment
534-00374
Parent company
Roundy's
Street
1405 Capitol Dr
City
Pewaukee
State
WI
ZIP
53072
On-site location
DELI DEPT NEAR SINKS

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
87
Days restricted or transferred
26

Before the incident

WASHING DISHES

What happened

EE WAS WASHING DISHES IN THE DELI WHEN SHE SLIPPED ON WATER THAT WAS ON THE FLOOR INJURING HER RIGHT KNEE

Injury or illness

Fracture Right Knee Fall from liquid orgrease WET SLILPPERY FLOOR

Object or substance involved

WET SLILPPERY FLOOR

Summary line

Fracture Right Knee Fall from liquid or grease WET SLILPPERY FLOOR

Employee and industry

Job description
Deli Dept Mgr
SOC code
41-1011 — First-Line Supervisors of Retail Sales Workers
NAICS code
445110 — Supermarkets and Other Grocery Except Convenience Stores
NAICS vintage
2022
Avg employees
114
Total hours worked
123059
EIN
390854535
Establishment ID
966290
Employer case #
850840

When (timing detail)

Date of incident
Shift started
10:00:00.000
Time of incident
14:30:00.000
Filing year
2023
Submitted
28FEB24:20:55:00

More injuries at 534-00374

View 534-00374'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.