South Bend, IN —
OSHA Injury Report: 021-00903
Injury · Other recordable case
At a glance
On , an injury at 021-00903 in South Bend, IN 46614 resulted in other recordable case. Employee was grocery Dept M in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00903
- Parent company
- Kroger Central KMA
- Street
- 1217 E Ireland Rd
- City
- South Bend
- State
- IN
- ZIP
- 46614
- On-site location
- GROCERY BACKROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WALKING
What happened
The EE was walking down the back aisle of the grocery backroom She tripped over a pallet A piece of the pallet went into her shoe on her right foot and pierced her second toe A piece is lodge into her toe She can walk but is in pain while walking
Injury or illness
Puncture Right Toe Cut punctured scraped pallet
Object or substance involved
pallet
Summary line
Puncture Right Toe Cut punctured scraped pallet
Employee and industry
- Job description
- Grocery Dept M
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 96
- Total hours worked
- 158451
- EIN
- 311569568
- Establishment ID
- 963708
- Employer case #
- 873977
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 13:20
- 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.