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Safety Incidents OSHA Severe Injury Reports · 2015–2025

MUKWONAGO, WI —

OSHA Injury Report: 534-00384

Respiratory condition · Days away from work

At a glance

On , a respiratory condition at 534-00384 in 1010 N Rochester St, MUKWONAGO, WI 53149 resulted in days away from work. Employee was e COMMERCE DEPT LEADER in supermarkets and Other Grocery Except Convenience Stores.

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Where did this happen?

Establishment
534-00384
Parent company
Roundy's
Street
1010 N Rochester St
City
MUKWONAGO
State
WI
ZIP
53149
On-site location
Pickup

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
e COMMERCE 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
180
Total hours worked
185405
EIN
390854535
Establishment ID
966297
Employer case #
24_211036

When (timing detail)

Date of incident
Filing year
2023
Submitted
28FEB24:20:55:00

More injuries at 534-00384

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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.