Fort Wayne, IN —
OSHA Injury Report: 021-00412
Injury · Other recordable case
At a glance
On , an injury at 021-00412 in Fort Wayne, IN 46808 resulted in other recordable case. Employee was pHARMACY SR CER in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00412
- Parent company
- Kroger Central KMA
- Street
- 1125 W State Blvd
- City
- Fort Wayne
- State
- IN
- ZIP
- 46808
- On-site location
- PHARMACY BEHIND COUNTER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WALKING
What happened
EE TRIPPED AND FELL ON LEFT SIDE EE TRIPPED OVER STANDING [REDACTED]
Injury or illness
Bruised Left Lower leg Fall floor
Object or substance involved
floor
Summary line
Bruised Left Lower leg Fall floor
Employee and industry
- Job description
- PHARMACY SR CER
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 109
- Total hours worked
- 155583
- EIN
- 311569568
- Establishment ID
- 963663
- Employer case #
- 871243
When (timing detail)
- Date of incident
- Shift started
- 11:00
- Time of incident
- 15:30
- 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.