Jefferson, GA ·
OSHA Injury Report: 011-00638
Injury · Job transfer or restriction
At a glance
On , an injury at 011-00638 in 1685 Old Pendergrass Rd, Jefferson, GA 30549 resulted in job transfer or restriction. Employee was store night clerk in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 011-00638
- Parent company
- Kroger Atlanta KMA
- Street
- 1685 Old Pendergrass Rd
- City
- Jefferson
- State
- GA
- ZIP
- 30549
- On-site location
- GROCERY BACKROOM
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 56
Before the incident
PULLING PALLET [REDACTED]
What happened
EE WAS PULLED A PALLET JACK THE EE SEEN ANOTHER PALLET JACK AND TRIED TO STOP CAUSING HIS LEFT FOOT TO BE CAUGHT IN UNDER THE PALLET JACK
Injury or illness
Bruised Left Foot Caught in under or between PALLET JACK
Object or substance involved
PALLET JACK
Summary line
Bruised Left Foot Caught in under or between PALLET [REDACTED]
Employee and industry
- Job description
- STORE NIGHT CLERK
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 445110: Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 227
- Hours worked at this establishment (2024 total)
- 289,792
- EIN
- 310345740
- Establishment ID
- 963037
- Employer case #
- 874517
When (timing detail)
- Date of incident
- Shift started
- 05:00
- Time of incident
- 05:25
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-25
More injuries at 011-00638
View 011-00638's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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