Fort Wayne, IN —
OSHA Injury Report: 021-00973
Injury · Job transfer or restriction
At a glance
On , an injury at 021-00973 in Fort Wayne, IN 46835 resulted in job transfer or restriction. Employee was sTORE NIGHT CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 021-00973
- Parent company
- Kroger Central KMA
- Street
- 6002 Saint Joe Center Rd
- City
- Fort Wayne
- State
- IN
- ZIP
- 46835
- On-site location
- GROCERY BACKROOM AT BALER
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 12
Before the incident
BALING CARDBOARD
What happened
The EE was bailing boxes and then backed up and fell backwards tripping on a U-boat The EE hit the back of their head The EE sustained inflammation bleeding and contusion to the back of their head
Injury or illness
Lacerated Posterior Face Fall on same level FLOOR
Object or substance involved
FLOOR
Summary line
Lacerated Posterior Face Fall on same level FLOOR
Employee and industry
- Job description
- STORE NIGHT CLERK
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 243
- Total hours worked
- 328039
- EIN
- 311569568
- Establishment ID
- 963749
- Employer case #
- 883140
When (timing detail)
- Date of incident
- Shift started
- 23:00
- Time of incident
- 5:30
- 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.