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 bAKERY DEPT LEADER 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
- BAKERY FREEZER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
UNLOADING GREEN CART
What happened
EE WAS UNLOADING GREEN CART THE CART MOVED AND HIT HER IN THE MOUTH AND CHIPPED A TOOTH EE ALSO HAD A HEADACHE AND SORENESS IN MOUTH
Injury or illness
Fracture Anterior Teeth Struck by object being handled HANDLE OF GREEN CART
Object or substance involved
HANDLE OF GREEN CART
Summary line
Fracture Anterior Teeth Struck by object being handled HANDLE OF GREEN CART
Employee and industry
- Job description
- BAKERY DEPT LEADER
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- 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 #
- 878749
When (timing detail)
- Date of incident
- Shift started
- 10:30
- Time of incident
- 10:45
- 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.