Fort Wayne, IN —
OSHA Injury Report: 021-00972
Injury · Other recordable case
At a glance
On , an injury at 021-00972 in Fort Wayne, IN 46825 resulted in other recordable case. Employee was apparel Clerk in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- 021-00972
- Parent company
- Kroger Central KMA
- Street
- 601 E Dupont Rd
- City
- Fort Wayne
- State
- IN
- ZIP
- 46825
- On-site location
- APPAREL DEPT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
SETTING NEW DISPLAYS
What happened
EE LIFTING SOME APPAREL EQUIPMENTAND TOTS EE BEGAN FEELING SHOOTING PAIN IN HER LEFT SHOULDER DOWN HER ARM EE CONTINUED TO WORK AND EVENTUALLY IT GOT WORSE AND WORSE TILL FINALLY SHE EXPERIENCED A SHARP PAIN AND A SNAP IN HER SHOULDER
Injury or illness
Sprained Left Shoulder Carrying DISPLAY HARDWARE
Object or substance involved
DISPLAY HARDWARE
Summary line
Sprained Left Shoulder Carrying DISPLAY HARDWARE
Employee and industry
- Job description
- Apparel Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 455211 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 269
- Total hours worked
- 363698
- EIN
- 311569568
- Establishment ID
- 963748
- Employer case #
- 873939
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 8:00
- 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.