Jefferson, GA ·
OSHA Injury Report: 011-00638
Injury · Days away from work
At a glance
On , an injury at 011-00638 in 1685 Old Pendergrass Rd, Jefferson, GA 30549 resulted in days away from work. 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 RECEIVING
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 5
- Days restricted or transferred
- 30
Before the incident
PUSHING THE TRAYS
What happened
LIFTING A STACK OF BREAD TRAYS WITH A HAND TRUCK THE TRAYS GOT STUCK CAME BACK WITH FORCE AND HE LOSS HIS BALANCE FELL THE TRAYS AND HAND TRUCK CAME BACK ON TOP OF HIMBRUISING TO HIS LEFT INTER THIGH RIGHT OUTER THIGH AND HIP
Injury or illness
Bruised Left Upper leg Struck by object being handled TRAYS AND HAND TRUCK
Object or substance involved
TRAYS AND HAND TRUCK
Summary line
Bruised Left Upper leg Struck by object being handled TRAYS AND HAND TRUCK
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 #
- 877805
When (timing detail)
- Date of incident
- Shift started
- 22:00
- Time of incident
- 23:00
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-25
More injuries at 011-00638
View 011-00638's full OSHA safety record →
More injuries in this industry (NAICS 445110)
More injuries in GA
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.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.