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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Fond du Lac, WI —

OSHA Injury Report: 534-00472

Injury · Days away from work

At a glance

On , an injury at 534-00472 in 55 W Pioneer Rd, Fond du Lac, WI 54935 resulted in days away from work. Employee was cUSTOMER SVC DE in supermarkets and Other Grocery Except Convenience Stores.

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Where did this happen?

Establishment
534-00472
Parent company
Roundy's
Street
55 W Pioneer Rd
City
Fond du Lac
State
WI
ZIP
54935
On-site location
PARKING LOT

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
68

Before the incident

WALKING

What happened

EE SLIPPED ON ICE AND FELL IN THE PARKING LOT CM THEN PASSED OUT 20MIN [REDACTED] AFTER PUNCHING IN CM WAS TRANSPORTED BY AMBULANCE CM ALSO HAS SORE WRIST

Injury or illness

Fracture Left Wrist Fall ICEY GROUND

Object or substance involved

ICEY GROUND

Summary line

Fracture Left Wrist Fall ICEY GROUND

Employee and industry

Job description
CUSTOMER SVC DE
SOC code
43-4051 — Customer Service Representatives
NAICS code
445110 — Supermarkets and Other Grocery Except Convenience Stores
NAICS vintage
2022
Avg employees
131
Total hours worked
142510
EIN
390854535
Establishment ID
966327
Employer case #
849588

When (timing detail)

Date of incident
Shift started
5:00:00.000
Time of incident
5:45:00.000
Filing year
2023
Submitted
28FEB24:20:55:00

More injuries at 534-00472

View 534-00472'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.