Fort Wayne, IN —
OSHA Injury Report: 021-00410
Injury · Other recordable case
At a glance
On , an injury at 021-00410 in Fort Wayne, IN 46809 resulted in other recordable case. Employee was fROZEN FOOD DEP in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00410
- Parent company
- Kroger Central KMA
- Street
- 7008 Bluffton Rd
- City
- Fort Wayne
- State
- IN
- ZIP
- 46809
- On-site location
- GROCERY FREEZER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
PULLING PALLET OUT OF FREEZER
What happened
EE WAS PULLING A PALLET OUT OF THE FREEZER AND SLIPPED ON ICE AND FELL ON HIS LEFT SIDE HURTING RIGHT LEG LEFT SHOULDER AND LEFT HIP
Injury or illness
Strained Right Lower extremities Fall icey floor
Object or substance involved
icey floor
Summary line
Strained Right Lower extremities Fall icey floor
Employee and industry
- Job description
- FROZEN FOOD DEP
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 107
- Total hours worked
- 145634
- EIN
- 311569568
- Establishment ID
- 963662
- Employer case #
- 877386
When (timing detail)
- Date of incident
- Shift started
- 23:59
- Time of incident
- 6:30
- 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.