Decatur, IL —
OSHA Injury Report: 021-00946
Injury · Days away from work
At a glance
On , an injury at 021-00946 in Decatur, IL 62521 resulted in days away from work. Employee was dELI CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00946
- Parent company
- Kroger Central KMA
- Street
- 1818 Airport Plz
- City
- Decatur
- State
- IL
- ZIP
- 62521
- On-site location
- DELI DEPT BEHIND SERVICE COUNTER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
REACHING FOR BOX OF GLOVES AND TRIPPED
What happened
EE was reaching for a box of gloves and tripped over a box and the trashcan and she fell on her back and left EE sustained strain to her back and left side
Injury or illness
Strained Left Low back Fall on same level FLOOR
Object or substance involved
FLOOR
Summary line
Strained Left Low back Fall on same level FLOOR
Employee and industry
- Job description
- DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 137
- Total hours worked
- 196155
- EIN
- 311569568
- Establishment ID
- 963734
- Employer case #
- 873642
When (timing detail)
- Date of incident
- Shift started
- 12:30
- Time of incident
- 14:00
- 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.