South Lyon, MI —
OSHA Injury Report: 018-00639
Injury · Days away from work
At a glance
On , an injury at 018-00639 in South Lyon, MI 48178 resulted in days away from work. Employee was sTORE NIGHT CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 018-00639
- Parent company
- Kroger Michigan KMA
- Street
- 20730 Pontiac Trl
- City
- South Lyon
- State
- MI
- ZIP
- 48178
- On-site location
- BACK FREEZER COOLER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 77
- Days restricted or transferred
- 103
Before the incident
BREAKING DOWN A PALLET
What happened
EE WAS IN FREEZER COOLER BREAKING DOWN A PALLET A 30 LB BAG OF [REDACTED] FRIES HIT HIS LEFT SHOULDER EE HAS INJURY TO HIS LEFT SHOULDER
Injury or illness
Bruised Left Shoulder Caught in collapsing material A CASE OF 5LB FRENCH F
Object or substance involved
A CASE OF 5LB FRENCH FRIES
Summary line
Bruised Left Shoulder Caught in collapsing material A CASE OF 5LB FRENCH F
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
- Avg employees
- 122
- Total hours worked
- 174372
- EIN
- 380900860
- Establishment ID
- 963449
- Employer case #
- 871015
When (timing detail)
- Date of incident
- Shift started
- 18:00
- Time of incident
- 23:00
- Filing year
- 2024
- Submitted
- 25FEB2025:19:39:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.