Decatur, IN —
OSHA Injury Report: 021-00407
Injury · Job transfer or restriction
At a glance
On , an injury at 021-00407 in Decatur, IN 46733 resulted in job transfer or restriction. Employee was general Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00407
- Parent company
- Kroger Central KMA
- Street
- 929 S 13Th St
- City
- Decatur
- State
- IN
- ZIP
- 46733
- On-site location
- GROCERY BACKROOM RECEIVING
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 96
Before the incident
LIFTING PALLET
What happened
EE was lifting a plastic pallet and when he hear a tear noise in right shoulder While lifting plastic pallet EE sustained a strain in left shoulder
Injury or illness
Sprained Right Shoulder Lifting PLASTIC PALLET
Object or substance involved
PLASTIC PALLET
Summary line
Sprained Right Shoulder Lifting PLASTIC PALLET
Employee and industry
- Job description
- General Clerks
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 101
- Total hours worked
- 145112
- EIN
- 311569568
- Establishment ID
- 963661
- Employer case #
- 871425
When (timing detail)
- Date of incident
- Shift started
- 22:00
- Time of incident
- 3:30
- Filing year
- 2024
- Submitted
- 25FEB2025:19:46:00
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.