Antigo, WI —
OSHA Injury Report: 534-00115
Respiratory condition · Days away from work
At a glance
On , a respiratory condition at 534-00115 in 406 Prosser Pl, Antigo, WI 54409 resulted in days away from work. Employee was gROCERY ASST DEPT LEADER in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 534-00115
- Parent company
- Roundy's
- Street
- 406 Prosser Pl
- City
- Antigo
- State
- WI
- ZIP
- 54409
- On-site location
- Grocery
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Respiratory condition (code 3)
- Days away from work
- 5
Before the incident
Performing job duties
What happened
EE is alleging contracing COVID 19 while at work
Injury or illness
COVID 19 Lungs Pandemic COVID 19
Object or substance involved
Covid-19
Summary line
COVID 19 Lungs Pandemic COVID 19
Employee and industry
- Job description
- GROCERY ASST DEPT LEADER
- 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
- 91
- Total hours worked
- 105415
- EIN
- 390854535
- Establishment ID
- 966254
- Employer case #
- 24_210509
When (timing detail)
- Date of incident
- Filing year
- 2023
- Submitted
- 28FEB24:20:55:00
More injuries at 534-00115
View 534-00115'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.